National Provider Identifier [NPI]: |
1144257817 |
Last Name Of The Provider |
RUBINTON |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3302 BONITA BEACH RD |
Street Address 2 Of The Provider |
# 170 |
City Of The Provider |
BONITA SPRINGS |
Zip Code Of The Provider |
341344174 |
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 |
79 |
Number Of Services |
2493 |
Number Of Medicare Beneficiaries |
1143 |
Total Submitted Charge Amount |
261939.12 |
Total Medicare Allowed Amount |
107458.66 |
Total Medicare Payment Amount |
61406.68 |
Total Medicare Standardized Payment Amount |
58611.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
419 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
2791.01 |
Total Drug Medicare AllowedAmount |
852.72 |
Total Drug Medicare PaymentAmount |
634.87 |
Total Drug Medicare Standardized Payment Amount |
634.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2074 |
Number Of Medicare Beneficiaries With Medical Services |
1143 |
Total Medical Submitted Charge Amount |
259148.11 |
Total Medical Medicare Allowed Amount |
106605.94 |
Total Medical Medicare Payment Amount |
60771.81 |
Total Medical Medicare Standardized Payment Amount |
57976.17 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
599 |
Number Of Beneficiaries Age 75 to 84 |
398 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
627 |
Number Of Male Beneficiaries |
516 |
Number Of Non Hispanic White Beneficiaries |
1107 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1120 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9142 |