National Provider Identifier [NPI]: |
1043325582 |
Last Name Of The Provider |
CITRIN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38135 MARKET SQ |
Street Address 2 Of The Provider |
|
City Of The Provider |
ZEPHYRHILLS |
Zip Code Of The Provider |
335427505 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
1960 |
Number Of Medicare Beneficiaries |
828 |
Total Submitted Charge Amount |
825224 |
Total Medicare Allowed Amount |
435573.46 |
Total Medicare Payment Amount |
334563.06 |
Total Medicare Standardized Payment Amount |
324864.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
1960 |
Number Of Medicare Beneficiaries With Medical Services |
828 |
Total Medical Submitted Charge Amount |
825224 |
Total Medical Medicare Allowed Amount |
435573.46 |
Total Medical Medicare Payment Amount |
334563.06 |
Total Medical Medicare Standardized Payment Amount |
324864.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
389 |
Number Of Male Beneficiaries |
439 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3188 |