National Provider Identifier [NPI]: |
1588624944 |
Last Name Of The Provider |
CONRADO |
First Name Of The Provider |
JULIO |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5030 MASON CORBIN CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339074541 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
28363 |
Number Of Medicare Beneficiaries |
2430 |
Total Submitted Charge Amount |
3650678.75 |
Total Medicare Allowed Amount |
1482793.29 |
Total Medicare Payment Amount |
1153210.77 |
Total Medicare Standardized Payment Amount |
1120069.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
702 |
Number Of Medicare Beneficiaries With Drug Services |
278 |
Total Drug Submitted ChargeAmount |
16158 |
Total Drug Medicare AllowedAmount |
6783.88 |
Total Drug Medicare PaymentAmount |
6520.35 |
Total Drug Medicare Standardized Payment Amount |
6520.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
27661 |
Number Of Medicare Beneficiaries With Medical Services |
2430 |
Total Medical Submitted Charge Amount |
3634520.75 |
Total Medical Medicare Allowed Amount |
1476009.41 |
Total Medical Medicare Payment Amount |
1146690.42 |
Total Medical Medicare Standardized Payment Amount |
1113548.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
956 |
Number Of Beneficiaries Age 75 to 84 |
837 |
Number Of Beneficiaries Age Greater 84 |
442 |
Number Of Female Beneficiaries |
1250 |
Number Of Male Beneficiaries |
1180 |
Number Of Non Hispanic White Beneficiaries |
2147 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
201 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2087 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6084 |