National Provider Identifier [NPI]: |
1720032253 |
Last Name Of The Provider |
ANTUNES |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 FRUITVILLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342376223 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
6501 |
Number Of Medicare Beneficiaries |
1417 |
Total Submitted Charge Amount |
772151.74 |
Total Medicare Allowed Amount |
657334.9 |
Total Medicare Payment Amount |
489217.46 |
Total Medicare Standardized Payment Amount |
520440.55 |
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 |
38 |
Number Of Medical Services |
6501 |
Number Of Medicare Beneficiaries With Medical Services |
1417 |
Total Medical Submitted Charge Amount |
772151.74 |
Total Medical Medicare Allowed Amount |
657334.9 |
Total Medical Medicare Payment Amount |
489217.46 |
Total Medical Medicare Standardized Payment Amount |
520440.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
552 |
Number Of Beneficiaries Age 75 to 84 |
525 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
673 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
1262 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6198 |