National Provider Identifier [NPI]: |
1447243514 |
Last Name Of The Provider |
GADALEAN |
First Name Of The Provider |
FLORIN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11317 LAKE UNDERHILL RD |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328254435 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
32638 |
Number Of Medicare Beneficiaries |
814 |
Total Submitted Charge Amount |
1702384.4 |
Total Medicare Allowed Amount |
733625.17 |
Total Medicare Payment Amount |
571614.78 |
Total Medicare Standardized Payment Amount |
578198.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
20670 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
73034.4 |
Total Drug Medicare AllowedAmount |
37367.31 |
Total Drug Medicare PaymentAmount |
26369.35 |
Total Drug Medicare Standardized Payment Amount |
26369.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
11968 |
Number Of Medicare Beneficiaries With Medical Services |
814 |
Total Medical Submitted Charge Amount |
1629350 |
Total Medical Medicare Allowed Amount |
696257.86 |
Total Medical Medicare Payment Amount |
545245.43 |
Total Medical Medicare Standardized Payment Amount |
551828.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
481 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
214 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.8522 |