National Provider Identifier [NPI]: |
1023013661 |
Last Name Of The Provider |
GREDLER |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 MEDICAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
323084646 |
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 |
81 |
Number Of Services |
4789 |
Number Of Medicare Beneficiaries |
1432 |
Total Submitted Charge Amount |
929827.14 |
Total Medicare Allowed Amount |
493241.43 |
Total Medicare Payment Amount |
371493.17 |
Total Medicare Standardized Payment Amount |
380424.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
489 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
38568.94 |
Total Drug Medicare AllowedAmount |
25394.34 |
Total Drug Medicare PaymentAmount |
19403.45 |
Total Drug Medicare Standardized Payment Amount |
19403.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4300 |
Number Of Medicare Beneficiaries With Medical Services |
1432 |
Total Medical Submitted Charge Amount |
891258.2 |
Total Medical Medicare Allowed Amount |
467847.09 |
Total Medical Medicare Payment Amount |
352089.72 |
Total Medical Medicare Standardized Payment Amount |
361020.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
527 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
245 |
Number Of Female Beneficiaries |
735 |
Number Of Male Beneficiaries |
697 |
Number Of Non Hispanic White Beneficiaries |
1243 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2962 |