National Provider Identifier [NPI]: |
1790763332 |
Last Name Of The Provider |
SWIETARSKI |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 LAUREL MANOR DR STE 142 |
Street Address 2 Of The Provider |
|
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321625602 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
7623 |
Number Of Medicare Beneficiaries |
504 |
Total Submitted Charge Amount |
427741.77 |
Total Medicare Allowed Amount |
220686.28 |
Total Medicare Payment Amount |
169738.67 |
Total Medicare Standardized Payment Amount |
172471.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1664 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
2887.07 |
Total Drug Medicare AllowedAmount |
1478.09 |
Total Drug Medicare PaymentAmount |
1319.12 |
Total Drug Medicare Standardized Payment Amount |
1319.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
5959 |
Number Of Medicare Beneficiaries With Medical Services |
504 |
Total Medical Submitted Charge Amount |
424854.7 |
Total Medical Medicare Allowed Amount |
219208.19 |
Total Medical Medicare Payment Amount |
168419.55 |
Total Medical Medicare Standardized Payment Amount |
171152.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
294 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
438 |
Number Of Black or African American Beneficiaries |
36 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1237 |