National Provider Identifier [NPI]: |
1285626770 |
Last Name Of The Provider |
CASLOWITZ |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1441 RIDGE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341034211 |
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 |
221 |
Number Of Services |
47560 |
Number Of Medicare Beneficiaries |
5224 |
Total Submitted Charge Amount |
1813406.91 |
Total Medicare Allowed Amount |
885303.21 |
Total Medicare Payment Amount |
696820.44 |
Total Medicare Standardized Payment Amount |
675395.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
39248 |
Number Of Medicare Beneficiaries With Drug Services |
481 |
Total Drug Submitted ChargeAmount |
35575.24 |
Total Drug Medicare AllowedAmount |
11442.74 |
Total Drug Medicare PaymentAmount |
8970.35 |
Total Drug Medicare Standardized Payment Amount |
8970.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
214 |
Number Of Medical Services |
8312 |
Number Of Medicare Beneficiaries With Medical Services |
5219 |
Total Medical Submitted Charge Amount |
1777831.67 |
Total Medical Medicare Allowed Amount |
873860.47 |
Total Medical Medicare Payment Amount |
687850.09 |
Total Medical Medicare Standardized Payment Amount |
666425.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
234 |
Number Of Beneficiaries Age 65 to 74 |
2286 |
Number Of Beneficiaries Age 75 to 84 |
1989 |
Number Of Beneficiaries Age Greater 84 |
715 |
Number Of Female Beneficiaries |
3270 |
Number Of Male Beneficiaries |
1954 |
Number Of Non Hispanic White Beneficiaries |
4779 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
270 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
71 |
Number Of Beneficiaries With Medicare Only Entitlement |
4833 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2107 |