National Provider Identifier [NPI]: |
1073624102 |
Last Name Of The Provider |
NEGROSKI |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1921 WALDEMERE |
Street Address 2 Of The Provider |
SUITE 701 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
34239 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
9764 |
Number Of Medicare Beneficiaries |
1471 |
Total Submitted Charge Amount |
1166858.12 |
Total Medicare Allowed Amount |
450489.4 |
Total Medicare Payment Amount |
336447.07 |
Total Medicare Standardized Payment Amount |
338949.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6472 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
67192.16 |
Total Drug Medicare AllowedAmount |
35330.76 |
Total Drug Medicare PaymentAmount |
27522.89 |
Total Drug Medicare Standardized Payment Amount |
27522.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3292 |
Number Of Medicare Beneficiaries With Medical Services |
1471 |
Total Medical Submitted Charge Amount |
1099665.96 |
Total Medical Medicare Allowed Amount |
415158.64 |
Total Medical Medicare Payment Amount |
308924.18 |
Total Medical Medicare Standardized Payment Amount |
311426.91 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
453 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
316 |
Number Of Female Beneficiaries |
807 |
Number Of Male Beneficiaries |
664 |
Number Of Non Hispanic White Beneficiaries |
1380 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.5168 |