National Provider Identifier [NPI]: |
1720061344 |
Last Name Of The Provider |
MAYER |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4 COLUMBIA DR |
Street Address 2 Of The Provider |
SUITE 820 |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336063589 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
110383 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
702091.59 |
Total Medicare Allowed Amount |
349627.16 |
Total Medicare Payment Amount |
269916.23 |
Total Medicare Standardized Payment Amount |
270367.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
107128 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
132953.59 |
Total Drug Medicare AllowedAmount |
91053.82 |
Total Drug Medicare PaymentAmount |
71597.54 |
Total Drug Medicare Standardized Payment Amount |
71597.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
3255 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
569138 |
Total Medical Medicare Allowed Amount |
258573.34 |
Total Medical Medicare Payment Amount |
198318.69 |
Total Medical Medicare Standardized Payment Amount |
198769.64 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
288 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
349 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
481 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
368 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
72 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.6482 |