National Provider Identifier [NPI]: |
1578560611 |
Last Name Of The Provider |
PIRRELLO |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7575 STATE ROAD 52 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAYONET POINT |
Zip Code Of The Provider |
346676716 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
4773 |
Number Of Medicare Beneficiaries |
396 |
Total Submitted Charge Amount |
241009 |
Total Medicare Allowed Amount |
168936.43 |
Total Medicare Payment Amount |
125819.4 |
Total Medicare Standardized Payment Amount |
126282.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
259 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
4551 |
Total Drug Medicare AllowedAmount |
3280.42 |
Total Drug Medicare PaymentAmount |
3132.38 |
Total Drug Medicare Standardized Payment Amount |
3132.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4514 |
Number Of Medicare Beneficiaries With Medical Services |
396 |
Total Medical Submitted Charge Amount |
236458 |
Total Medical Medicare Allowed Amount |
165656.01 |
Total Medical Medicare Payment Amount |
122687.02 |
Total Medical Medicare Standardized Payment Amount |
123149.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2682 |