National Provider Identifier [NPI]: |
1336154608 |
Last Name Of The Provider |
MILIZIANO |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 PINELLAS STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563804 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
4211 |
Number Of Medicare Beneficiaries |
2495 |
Total Submitted Charge Amount |
3688379.96 |
Total Medicare Allowed Amount |
1487465.24 |
Total Medicare Payment Amount |
1152977.57 |
Total Medicare Standardized Payment Amount |
1158175.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
85 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
4220 |
Total Drug Medicare AllowedAmount |
1654.1 |
Total Drug Medicare PaymentAmount |
1296.82 |
Total Drug Medicare Standardized Payment Amount |
1296.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4126 |
Number Of Medicare Beneficiaries With Medical Services |
2495 |
Total Medical Submitted Charge Amount |
3684159.96 |
Total Medical Medicare Allowed Amount |
1485811.14 |
Total Medical Medicare Payment Amount |
1151680.75 |
Total Medical Medicare Standardized Payment Amount |
1156878.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
278 |
Number Of Beneficiaries Age 65 to 74 |
912 |
Number Of Beneficiaries Age 75 to 84 |
868 |
Number Of Beneficiaries Age Greater 84 |
437 |
Number Of Female Beneficiaries |
1505 |
Number Of Male Beneficiaries |
990 |
Number Of Non Hispanic White Beneficiaries |
2315 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2098 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
397 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8897 |