National Provider Identifier [NPI]: |
1518281310 |
Last Name Of The Provider |
RIVERA |
First Name Of The Provider |
NADIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD, MPH |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
202 N PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
APOPKA |
Zip Code Of The Provider |
327034148 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
1585 |
Number Of Medicare Beneficiaries |
362 |
Total Submitted Charge Amount |
153525.12 |
Total Medicare Allowed Amount |
105860.46 |
Total Medicare Payment Amount |
79440.53 |
Total Medicare Standardized Payment Amount |
80443.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
160 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
4575 |
Total Drug Medicare AllowedAmount |
2482.57 |
Total Drug Medicare PaymentAmount |
2289.82 |
Total Drug Medicare Standardized Payment Amount |
2289.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1425 |
Number Of Medicare Beneficiaries With Medical Services |
362 |
Total Medical Submitted Charge Amount |
148950.12 |
Total Medical Medicare Allowed Amount |
103377.89 |
Total Medical Medicare Payment Amount |
77150.71 |
Total Medical Medicare Standardized Payment Amount |
78153.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1866 |