National Provider Identifier [NPI]: |
1114113719 |
Last Name Of The Provider |
SINGH |
First Name Of The Provider |
PREMRANJAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 SE 17TH ST |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344714191 |
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 |
158 |
Number Of Services |
26706 |
Number Of Medicare Beneficiaries |
1894 |
Total Submitted Charge Amount |
5469384.71 |
Total Medicare Allowed Amount |
2337801.43 |
Total Medicare Payment Amount |
1794406.42 |
Total Medicare Standardized Payment Amount |
1846399.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
16892 |
Number Of Medicare Beneficiaries With Drug Services |
310 |
Total Drug Submitted ChargeAmount |
103113.48 |
Total Drug Medicare AllowedAmount |
52755.43 |
Total Drug Medicare PaymentAmount |
41217.92 |
Total Drug Medicare Standardized Payment Amount |
41217.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
153 |
Number Of Medical Services |
9814 |
Number Of Medicare Beneficiaries With Medical Services |
1894 |
Total Medical Submitted Charge Amount |
5366271.23 |
Total Medical Medicare Allowed Amount |
2285046 |
Total Medical Medicare Payment Amount |
1753188.5 |
Total Medical Medicare Standardized Payment Amount |
1805181.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
693 |
Number Of Beneficiaries Age 75 to 84 |
702 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
939 |
Number Of Male Beneficiaries |
955 |
Number Of Non Hispanic White Beneficiaries |
1717 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5566 |