National Provider Identifier [NPI]: |
1538194345 |
Last Name Of The Provider |
THOMAS |
First Name Of The Provider |
CLAUDIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 MEDICAL PLAZA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347487313 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
16149 |
Number Of Medicare Beneficiaries |
744 |
Total Submitted Charge Amount |
1138076 |
Total Medicare Allowed Amount |
464480.38 |
Total Medicare Payment Amount |
354738.2 |
Total Medicare Standardized Payment Amount |
354374.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
13388 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
479073 |
Total Drug Medicare AllowedAmount |
224682.9 |
Total Drug Medicare PaymentAmount |
175969.88 |
Total Drug Medicare Standardized Payment Amount |
175969.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2761 |
Number Of Medicare Beneficiaries With Medical Services |
744 |
Total Medical Submitted Charge Amount |
659003 |
Total Medical Medicare Allowed Amount |
239797.48 |
Total Medical Medicare Payment Amount |
178768.32 |
Total Medical Medicare Standardized Payment Amount |
178404.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
703 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
731 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1741 |