National Provider Identifier [NPI]: |
1659341139 |
Last Name Of The Provider |
DREHOBL |
First Name Of The Provider |
KARL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 SE HOSPITAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
STUART |
Zip Code Of The Provider |
349942338 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
216 |
Number Of Services |
9534 |
Number Of Medicare Beneficiaries |
4827 |
Total Submitted Charge Amount |
822235.6 |
Total Medicare Allowed Amount |
305846.36 |
Total Medicare Payment Amount |
232270.49 |
Total Medicare Standardized Payment Amount |
224392.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1080 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
4088.6 |
Total Drug Medicare AllowedAmount |
422.74 |
Total Drug Medicare PaymentAmount |
300.51 |
Total Drug Medicare Standardized Payment Amount |
300.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
213 |
Number Of Medical Services |
8454 |
Number Of Medicare Beneficiaries With Medical Services |
4826 |
Total Medical Submitted Charge Amount |
818147 |
Total Medical Medicare Allowed Amount |
305423.62 |
Total Medical Medicare Payment Amount |
231969.98 |
Total Medical Medicare Standardized Payment Amount |
224092 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
542 |
Number Of Beneficiaries Age 65 to 74 |
1517 |
Number Of Beneficiaries Age 75 to 84 |
1646 |
Number Of Beneficiaries Age Greater 84 |
1122 |
Number Of Female Beneficiaries |
2710 |
Number Of Male Beneficiaries |
2117 |
Number Of Non Hispanic White Beneficiaries |
4340 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
209 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
4090 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
737 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7051 |