National Provider Identifier [NPI]: |
1306842984 |
Last Name Of The Provider |
GADODIA |
First Name Of The Provider |
GOPAL |
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 |
2200 W EAU GALLIE BLVD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329353166 |
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 |
84 |
Number Of Services |
14906 |
Number Of Medicare Beneficiaries |
1636 |
Total Submitted Charge Amount |
2193825.37 |
Total Medicare Allowed Amount |
783753.01 |
Total Medicare Payment Amount |
593028.65 |
Total Medicare Standardized Payment Amount |
604414.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
7464 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
12421.62 |
Total Drug Medicare AllowedAmount |
1783.37 |
Total Drug Medicare PaymentAmount |
1362.59 |
Total Drug Medicare Standardized Payment Amount |
1362.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
7442 |
Number Of Medicare Beneficiaries With Medical Services |
1636 |
Total Medical Submitted Charge Amount |
2181403.75 |
Total Medical Medicare Allowed Amount |
781969.64 |
Total Medical Medicare Payment Amount |
591666.06 |
Total Medical Medicare Standardized Payment Amount |
603051.53 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
172 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
573 |
Number Of Beneficiaries Age Greater 84 |
331 |
Number Of Female Beneficiaries |
754 |
Number Of Male Beneficiaries |
882 |
Number Of Non Hispanic White Beneficiaries |
1411 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9026 |