National Provider Identifier [NPI]: |
1952330185 |
Last Name Of The Provider |
BEDI |
First Name Of The Provider |
MONICA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3830 BEE RIDGE RD STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342331105 |
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 |
76 |
Number Of Services |
11765 |
Number Of Medicare Beneficiaries |
1947 |
Total Submitted Charge Amount |
1252545.36 |
Total Medicare Allowed Amount |
554695.94 |
Total Medicare Payment Amount |
400244.76 |
Total Medicare Standardized Payment Amount |
393319.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
335 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
23180 |
Total Drug Medicare AllowedAmount |
19806.29 |
Total Drug Medicare PaymentAmount |
15117.81 |
Total Drug Medicare Standardized Payment Amount |
15117.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
11430 |
Number Of Medicare Beneficiaries With Medical Services |
1947 |
Total Medical Submitted Charge Amount |
1229365.36 |
Total Medical Medicare Allowed Amount |
534889.65 |
Total Medical Medicare Payment Amount |
385126.95 |
Total Medical Medicare Standardized Payment Amount |
378201.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
953 |
Number Of Beneficiaries Age 75 to 84 |
712 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
1107 |
Number Of Male Beneficiaries |
840 |
Number Of Non Hispanic White Beneficiaries |
1866 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1901 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9755 |