National Provider Identifier [NPI]: |
1174520423 |
Last Name Of The Provider |
SILBIGER |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 1ST ST N |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338814537 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3198 |
Number Of Medicare Beneficiaries |
1409 |
Total Submitted Charge Amount |
968232 |
Total Medicare Allowed Amount |
464500.14 |
Total Medicare Payment Amount |
331821.83 |
Total Medicare Standardized Payment Amount |
339471.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3198 |
Number Of Medicare Beneficiaries With Medical Services |
1409 |
Total Medical Submitted Charge Amount |
968232 |
Total Medical Medicare Allowed Amount |
464500.14 |
Total Medical Medicare Payment Amount |
331821.83 |
Total Medical Medicare Standardized Payment Amount |
339471.58 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
557 |
Number Of Beneficiaries Age 75 to 84 |
543 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
848 |
Number Of Male Beneficiaries |
561 |
Number Of Non Hispanic White Beneficiaries |
1185 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
92 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3192 |