National Provider Identifier [NPI]: |
1528010899 |
Last Name Of The Provider |
POLING |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 8TH ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025519 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
23208 |
Number Of Medicare Beneficiaries |
1605 |
Total Submitted Charge Amount |
1285731.25 |
Total Medicare Allowed Amount |
627182.97 |
Total Medicare Payment Amount |
518218.01 |
Total Medicare Standardized Payment Amount |
510430.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
4002 |
Number Of Medicare Beneficiaries With Drug Services |
282 |
Total Drug Submitted ChargeAmount |
125188.39 |
Total Drug Medicare AllowedAmount |
63458.01 |
Total Drug Medicare PaymentAmount |
51412.78 |
Total Drug Medicare Standardized Payment Amount |
51412.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
19206 |
Number Of Medicare Beneficiaries With Medical Services |
1603 |
Total Medical Submitted Charge Amount |
1160542.86 |
Total Medical Medicare Allowed Amount |
563724.96 |
Total Medical Medicare Payment Amount |
466805.23 |
Total Medical Medicare Standardized Payment Amount |
459017.34 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
834 |
Number Of Beneficiaries Age 75 to 84 |
583 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
1169 |
Number Of Male Beneficiaries |
436 |
Number Of Non Hispanic White Beneficiaries |
1557 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.884 |