National Provider Identifier [NPI]: |
1669475646 |
Last Name Of The Provider |
MODY |
First Name Of The Provider |
NARESH |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
605 N WASHINGTON AVE STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
TITUSVILLE |
Zip Code Of The Provider |
327962152 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
14716 |
Number Of Medicare Beneficiaries |
2053 |
Total Submitted Charge Amount |
1392417.51 |
Total Medicare Allowed Amount |
1177596.66 |
Total Medicare Payment Amount |
883672.79 |
Total Medicare Standardized Payment Amount |
889017.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1502 |
Number Of Medicare Beneficiaries With Drug Services |
376 |
Total Drug Submitted ChargeAmount |
97950 |
Total Drug Medicare AllowedAmount |
79549.02 |
Total Drug Medicare PaymentAmount |
62120.69 |
Total Drug Medicare Standardized Payment Amount |
62120.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
13214 |
Number Of Medicare Beneficiaries With Medical Services |
2053 |
Total Medical Submitted Charge Amount |
1294467.51 |
Total Medical Medicare Allowed Amount |
1098047.64 |
Total Medical Medicare Payment Amount |
821552.1 |
Total Medical Medicare Standardized Payment Amount |
826897.24 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
729 |
Number Of Beneficiaries Age 75 to 84 |
775 |
Number Of Beneficiaries Age Greater 84 |
338 |
Number Of Female Beneficiaries |
1071 |
Number Of Male Beneficiaries |
982 |
Number Of Non Hispanic White Beneficiaries |
1844 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7691 |