National Provider Identifier [NPI]: |
1619979788 |
Last Name Of The Provider |
SILVA |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
915 W MONROE ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322041177 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
8776.5 |
Number Of Medicare Beneficiaries |
1587 |
Total Submitted Charge Amount |
705702 |
Total Medicare Allowed Amount |
460756.66 |
Total Medicare Payment Amount |
347349.19 |
Total Medicare Standardized Payment Amount |
351040.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1877 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
56472.5 |
Total Drug Medicare AllowedAmount |
27055.13 |
Total Drug Medicare PaymentAmount |
21195.6 |
Total Drug Medicare Standardized Payment Amount |
21195.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6899.5 |
Number Of Medicare Beneficiaries With Medical Services |
1587 |
Total Medical Submitted Charge Amount |
649229.5 |
Total Medical Medicare Allowed Amount |
433701.53 |
Total Medical Medicare Payment Amount |
326153.59 |
Total Medical Medicare Standardized Payment Amount |
329844.76 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
260 |
Number Of Beneficiaries Age 65 to 74 |
785 |
Number Of Beneficiaries Age 75 to 84 |
432 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
968 |
Number Of Male Beneficiaries |
619 |
Number Of Non Hispanic White Beneficiaries |
1188 |
Number Of Black or African American Beneficiaries |
270 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8471 |