National Provider Identifier [NPI]: |
1245220599 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
ROBERT |
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 |
1106 DRUID RD S |
Street Address 2 Of The Provider |
SUITE 302 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563846 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
180 |
Number Of Services |
25775 |
Number Of Medicare Beneficiaries |
4111 |
Total Submitted Charge Amount |
1387178.4 |
Total Medicare Allowed Amount |
318448.14 |
Total Medicare Payment Amount |
242868.35 |
Total Medicare Standardized Payment Amount |
249230.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
19625 |
Number Of Medicare Beneficiaries With Drug Services |
214 |
Total Drug Submitted ChargeAmount |
45777.4 |
Total Drug Medicare AllowedAmount |
5398.14 |
Total Drug Medicare PaymentAmount |
4115.22 |
Total Drug Medicare Standardized Payment Amount |
4115.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
6150 |
Number Of Medicare Beneficiaries With Medical Services |
4108 |
Total Medical Submitted Charge Amount |
1341401 |
Total Medical Medicare Allowed Amount |
313050 |
Total Medical Medicare Payment Amount |
238753.13 |
Total Medical Medicare Standardized Payment Amount |
245114.98 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
522 |
Number Of Beneficiaries Age 65 to 74 |
1255 |
Number Of Beneficiaries Age 75 to 84 |
1295 |
Number Of Beneficiaries Age Greater 84 |
1039 |
Number Of Female Beneficiaries |
2352 |
Number Of Male Beneficiaries |
1759 |
Number Of Non Hispanic White Beneficiaries |
3780 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
121 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
3188 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
923 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0442 |