National Provider Identifier [NPI]: |
1760435507 |
Last Name Of The Provider |
FUNIERU |
First Name Of The Provider |
IULIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
202 LAKE MIRIAM DR |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
LAKELAND |
Zip Code Of The Provider |
338132188 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
3671 |
Number Of Medicare Beneficiaries |
668 |
Total Submitted Charge Amount |
297882 |
Total Medicare Allowed Amount |
163403 |
Total Medicare Payment Amount |
115942.62 |
Total Medicare Standardized Payment Amount |
114320.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
102 |
Total Drug Medicare AllowedAmount |
60.88 |
Total Drug Medicare PaymentAmount |
36.3 |
Total Drug Medicare Standardized Payment Amount |
36.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
3637 |
Number Of Medicare Beneficiaries With Medical Services |
668 |
Total Medical Submitted Charge Amount |
297780 |
Total Medical Medicare Allowed Amount |
163342.12 |
Total Medical Medicare Payment Amount |
115906.32 |
Total Medical Medicare Standardized Payment Amount |
114284.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
308 |
Number Of Non Hispanic White Beneficiaries |
614 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1347 |