National Provider Identifier [NPI]: |
1972592400 |
Last Name Of The Provider |
ZELENKA |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
455 PINELLAS ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563354 |
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 |
61 |
Number Of Services |
10782 |
Number Of Medicare Beneficiaries |
2815 |
Total Submitted Charge Amount |
1343384 |
Total Medicare Allowed Amount |
625714.14 |
Total Medicare Payment Amount |
470068.79 |
Total Medicare Standardized Payment Amount |
480271.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1563 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
31381 |
Total Drug Medicare AllowedAmount |
14498.24 |
Total Drug Medicare PaymentAmount |
11301.77 |
Total Drug Medicare Standardized Payment Amount |
11301.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
9219 |
Number Of Medicare Beneficiaries With Medical Services |
2815 |
Total Medical Submitted Charge Amount |
1312003 |
Total Medical Medicare Allowed Amount |
611215.9 |
Total Medical Medicare Payment Amount |
458767.02 |
Total Medical Medicare Standardized Payment Amount |
468969.99 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
876 |
Number Of Beneficiaries Age 75 to 84 |
1026 |
Number Of Beneficiaries Age Greater 84 |
758 |
Number Of Female Beneficiaries |
1417 |
Number Of Male Beneficiaries |
1398 |
Number Of Non Hispanic White Beneficiaries |
2644 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.7288 |