National Provider Identifier [NPI]: |
1962475129 |
Last Name Of The Provider |
ABRAMS |
First Name Of The Provider |
LORI |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3131 S TAMIAMI TRL |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342395101 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
3770 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
329560.11 |
Total Medicare Allowed Amount |
150074.26 |
Total Medicare Payment Amount |
117627.34 |
Total Medicare Standardized Payment Amount |
118506.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1800 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
54000 |
Total Drug Medicare AllowedAmount |
25868.34 |
Total Drug Medicare PaymentAmount |
20103.59 |
Total Drug Medicare Standardized Payment Amount |
20103.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
1970 |
Number Of Medicare Beneficiaries With Medical Services |
570 |
Total Medical Submitted Charge Amount |
275560.11 |
Total Medical Medicare Allowed Amount |
124205.92 |
Total Medical Medicare Payment Amount |
97523.75 |
Total Medical Medicare Standardized Payment Amount |
98402.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
320 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
538 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8577 |