National Provider Identifier [NPI]: |
1538235338 |
Last Name Of The Provider |
MESSERSMITH |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 N SYKES CREEK PKWY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MERRITT ISLAND |
Zip Code Of The Provider |
329533488 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
6676 |
Number Of Medicare Beneficiaries |
1777 |
Total Submitted Charge Amount |
1135250 |
Total Medicare Allowed Amount |
470123.01 |
Total Medicare Payment Amount |
339426.6 |
Total Medicare Standardized Payment Amount |
340762.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
6676 |
Number Of Medicare Beneficiaries With Medical Services |
1777 |
Total Medical Submitted Charge Amount |
1135250 |
Total Medical Medicare Allowed Amount |
470123.01 |
Total Medical Medicare Payment Amount |
339426.6 |
Total Medical Medicare Standardized Payment Amount |
340762.54 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
709 |
Number Of Beneficiaries Age Greater 84 |
399 |
Number Of Female Beneficiaries |
872 |
Number Of Male Beneficiaries |
905 |
Number Of Non Hispanic White Beneficiaries |
1635 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5533 |