National Provider Identifier [NPI]: |
1780697706 |
Last Name Of The Provider |
MARTINEZ |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25097 OLYMPIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PUNTA GORDA |
Zip Code Of The Provider |
339503903 |
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 |
99 |
Number Of Services |
20424 |
Number Of Medicare Beneficiaries |
2196 |
Total Submitted Charge Amount |
1374956.69 |
Total Medicare Allowed Amount |
1256521.39 |
Total Medicare Payment Amount |
953195.1 |
Total Medicare Standardized Payment Amount |
968970.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13065 |
Number Of Medicare Beneficiaries With Drug Services |
214 |
Total Drug Submitted ChargeAmount |
29954.26 |
Total Drug Medicare AllowedAmount |
29500.62 |
Total Drug Medicare PaymentAmount |
23109.18 |
Total Drug Medicare Standardized Payment Amount |
23109.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
7359 |
Number Of Medicare Beneficiaries With Medical Services |
2196 |
Total Medical Submitted Charge Amount |
1345002.43 |
Total Medical Medicare Allowed Amount |
1227020.77 |
Total Medical Medicare Payment Amount |
930085.92 |
Total Medical Medicare Standardized Payment Amount |
945860.86 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
748 |
Number Of Beneficiaries Age 75 to 84 |
880 |
Number Of Beneficiaries Age Greater 84 |
459 |
Number Of Female Beneficiaries |
1066 |
Number Of Male Beneficiaries |
1130 |
Number Of Non Hispanic White Beneficiaries |
2021 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1996 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.635 |