Medicare Facts for Dr. Dmitriy Model, MD


National Provider Identifier [NPI]: 1679521488
Last Name Of The Provider MODEL
First Name Of The Provider DMITRIY
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1633 RACE TRACK RD
Street Address 2 Of The Provider SUITE 1
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322594222
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 47
Number Of Services 629
Number Of Medicare Beneficiaries 176
Total Submitted Charge Amount 101349.2
Total Medicare Allowed Amount 34432.46
Total Medicare Payment Amount 23470.52
Total Medicare Standardized Payment Amount 24164.49
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 108
Number Of Medicare Beneficiaries With Drug Services 45
Total Drug Submitted ChargeAmount 2494.2
Total Drug Medicare AllowedAmount 173.72
Total Drug Medicare PaymentAmount 135.22
Total Drug Medicare Standardized Payment Amount 135.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 521
Number Of Medicare Beneficiaries With Medical Services 176
Total Medical Submitted Charge Amount 98855
Total Medical Medicare Allowed Amount 34258.74
Total Medical Medicare Payment Amount 23335.3
Total Medical Medicare Standardized Payment Amount 24029.27
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 104
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 117
Number Of Male Beneficiaries 59
Number Of Non Hispanic White Beneficiaries 157
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 159
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 13
Percent Of With Cancer 9
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 22
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9559

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