National Provider Identifier [NPI]: |
1396744330 |
Last Name Of The Provider |
LIVINGSTON |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1325 36TH ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329606599 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
7515 |
Number Of Medicare Beneficiaries |
1368 |
Total Submitted Charge Amount |
792106.93 |
Total Medicare Allowed Amount |
464972.13 |
Total Medicare Payment Amount |
343503.19 |
Total Medicare Standardized Payment Amount |
322782.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
302 |
Total Drug Medicare AllowedAmount |
164.66 |
Total Drug Medicare PaymentAmount |
129.08 |
Total Drug Medicare Standardized Payment Amount |
129.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
7466 |
Number Of Medicare Beneficiaries With Medical Services |
1368 |
Total Medical Submitted Charge Amount |
791804.93 |
Total Medical Medicare Allowed Amount |
464807.47 |
Total Medical Medicare Payment Amount |
343374.11 |
Total Medical Medicare Standardized Payment Amount |
322653.14 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
486 |
Number Of Beneficiaries Age Greater 84 |
333 |
Number Of Female Beneficiaries |
731 |
Number Of Male Beneficiaries |
637 |
Number Of Non Hispanic White Beneficiaries |
1300 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2668 |