National Provider Identifier [NPI]: |
1295732089 |
Last Name Of The Provider |
OVERMEYER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E ROLLINS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031248 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
10245 |
Number Of Medicare Beneficiaries |
2924 |
Total Submitted Charge Amount |
809517.85 |
Total Medicare Allowed Amount |
255627.13 |
Total Medicare Payment Amount |
197292.21 |
Total Medicare Standardized Payment Amount |
196656.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5935 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
2667.57 |
Total Drug Medicare AllowedAmount |
1117.67 |
Total Drug Medicare PaymentAmount |
862.27 |
Total Drug Medicare Standardized Payment Amount |
862.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
194 |
Number Of Medical Services |
4310 |
Number Of Medicare Beneficiaries With Medical Services |
2921 |
Total Medical Submitted Charge Amount |
806850.28 |
Total Medical Medicare Allowed Amount |
254509.46 |
Total Medical Medicare Payment Amount |
196429.94 |
Total Medical Medicare Standardized Payment Amount |
195793.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
538 |
Number Of Beneficiaries Age 65 to 74 |
940 |
Number Of Beneficiaries Age 75 to 84 |
884 |
Number Of Beneficiaries Age Greater 84 |
562 |
Number Of Female Beneficiaries |
1571 |
Number Of Male Beneficiaries |
1353 |
Number Of Non Hispanic White Beneficiaries |
2075 |
Number Of Black or African American Beneficiaries |
356 |
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
392 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2085 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
839 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.5653 |