National Provider Identifier [NPI]: |
1205827672 |
Last Name Of The Provider |
ESPOSITO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1305 LAKELAND HILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKELAND |
Zip Code Of The Provider |
338054542 |
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 |
176 |
Number Of Services |
5827 |
Number Of Medicare Beneficiaries |
2424 |
Total Submitted Charge Amount |
590991 |
Total Medicare Allowed Amount |
151530.63 |
Total Medicare Payment Amount |
113739.93 |
Total Medicare Standardized Payment Amount |
115345.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1781 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
4227 |
Total Drug Medicare AllowedAmount |
512.63 |
Total Drug Medicare PaymentAmount |
401.9 |
Total Drug Medicare Standardized Payment Amount |
401.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
173 |
Number Of Medical Services |
4046 |
Number Of Medicare Beneficiaries With Medical Services |
2423 |
Total Medical Submitted Charge Amount |
586764 |
Total Medical Medicare Allowed Amount |
151018 |
Total Medical Medicare Payment Amount |
113338.03 |
Total Medical Medicare Standardized Payment Amount |
114943.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
469 |
Number Of Beneficiaries Age 65 to 74 |
739 |
Number Of Beneficiaries Age 75 to 84 |
760 |
Number Of Beneficiaries Age Greater 84 |
456 |
Number Of Female Beneficiaries |
1487 |
Number Of Male Beneficiaries |
937 |
Number Of Non Hispanic White Beneficiaries |
1995 |
Number Of Black or African American Beneficiaries |
266 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
131 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1577 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
847 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1002 |