National Provider Identifier [NPI]: |
1447242946 |
Last Name Of The Provider |
PAWLUS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1441 RIDGE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341034211 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
83030 |
Number Of Medicare Beneficiaries |
3637 |
Total Submitted Charge Amount |
1778048.09 |
Total Medicare Allowed Amount |
837833.2 |
Total Medicare Payment Amount |
639730.77 |
Total Medicare Standardized Payment Amount |
626727.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
78009 |
Number Of Medicare Beneficiaries With Drug Services |
846 |
Total Drug Submitted ChargeAmount |
59081.99 |
Total Drug Medicare AllowedAmount |
19688.65 |
Total Drug Medicare PaymentAmount |
15316.22 |
Total Drug Medicare Standardized Payment Amount |
15316.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
5021 |
Number Of Medicare Beneficiaries With Medical Services |
3633 |
Total Medical Submitted Charge Amount |
1718966.1 |
Total Medical Medicare Allowed Amount |
818144.55 |
Total Medical Medicare Payment Amount |
624414.55 |
Total Medical Medicare Standardized Payment Amount |
611410.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
1490 |
Number Of Beneficiaries Age 75 to 84 |
1399 |
Number Of Beneficiaries Age Greater 84 |
550 |
Number Of Female Beneficiaries |
1933 |
Number Of Male Beneficiaries |
1704 |
Number Of Non Hispanic White Beneficiaries |
3343 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
179 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
3342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
295 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2952 |