National Provider Identifier [NPI]: |
1649262882 |
Last Name Of The Provider |
PULEO |
First Name Of The Provider |
JOHN |
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 |
5741 BEE RIDGE RD STE 530 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342335061 |
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 |
80 |
Number Of Services |
9150 |
Number Of Medicare Beneficiaries |
1716 |
Total Submitted Charge Amount |
1568551.96 |
Total Medicare Allowed Amount |
766716.61 |
Total Medicare Payment Amount |
578488.34 |
Total Medicare Standardized Payment Amount |
602085.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2411 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
25316 |
Total Drug Medicare AllowedAmount |
12091.59 |
Total Drug Medicare PaymentAmount |
9341.16 |
Total Drug Medicare Standardized Payment Amount |
9341.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
6739 |
Number Of Medicare Beneficiaries With Medical Services |
1716 |
Total Medical Submitted Charge Amount |
1543235.96 |
Total Medical Medicare Allowed Amount |
754625.02 |
Total Medical Medicare Payment Amount |
569147.18 |
Total Medical Medicare Standardized Payment Amount |
592744.44 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
570 |
Number Of Beneficiaries Age 75 to 84 |
610 |
Number Of Beneficiaries Age Greater 84 |
407 |
Number Of Female Beneficiaries |
899 |
Number Of Male Beneficiaries |
817 |
Number Of Non Hispanic White Beneficiaries |
1595 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5458 |