National Provider Identifier [NPI]: |
1508867458 |
Last Name Of The Provider |
REICHEL |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3333 CATTLEMEN RD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326056 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
9799 |
Number Of Medicare Beneficiaries |
1378 |
Total Submitted Charge Amount |
918826 |
Total Medicare Allowed Amount |
449239.17 |
Total Medicare Payment Amount |
355044.34 |
Total Medicare Standardized Payment Amount |
357817.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
225 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
18996 |
Total Drug Medicare AllowedAmount |
9851.9 |
Total Drug Medicare PaymentAmount |
9481.52 |
Total Drug Medicare Standardized Payment Amount |
9481.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
9574 |
Number Of Medicare Beneficiaries With Medical Services |
1378 |
Total Medical Submitted Charge Amount |
899830 |
Total Medical Medicare Allowed Amount |
439387.27 |
Total Medical Medicare Payment Amount |
345562.82 |
Total Medical Medicare Standardized Payment Amount |
348335.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
588 |
Number Of Beneficiaries Age 75 to 84 |
531 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
672 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
1312 |
Number Of Black or African American Beneficiaries |
15 |
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 |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1083 |