National Provider Identifier [NPI]: |
1942368915 |
Last Name Of The Provider |
SLAZINSKI |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2426 S TAMIAMI TRL |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342393841 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
9583 |
Number Of Medicare Beneficiaries |
1028 |
Total Submitted Charge Amount |
1229238.13 |
Total Medicare Allowed Amount |
1103335.61 |
Total Medicare Payment Amount |
857595.71 |
Total Medicare Standardized Payment Amount |
837733.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
140 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
3507 |
Total Drug Medicare AllowedAmount |
3363.14 |
Total Drug Medicare PaymentAmount |
2636.64 |
Total Drug Medicare Standardized Payment Amount |
2636.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
9443 |
Number Of Medicare Beneficiaries With Medical Services |
1028 |
Total Medical Submitted Charge Amount |
1225731.13 |
Total Medical Medicare Allowed Amount |
1099972.47 |
Total Medical Medicare Payment Amount |
854959.07 |
Total Medical Medicare Standardized Payment Amount |
835096.59 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
363 |
Number Of Beneficiaries Age Greater 84 |
281 |
Number Of Female Beneficiaries |
523 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
1000 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
990 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0485 |