National Provider Identifier [NPI]: |
1750373254 |
Last Name Of The Provider |
MELI |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1441 RIDGE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341034211 |
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 |
163 |
Number Of Services |
17917.5 |
Number Of Medicare Beneficiaries |
6338 |
Total Submitted Charge Amount |
1941086.9 |
Total Medicare Allowed Amount |
967053.23 |
Total Medicare Payment Amount |
809854.5 |
Total Medicare Standardized Payment Amount |
776197.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6337.5 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
12026 |
Total Drug Medicare AllowedAmount |
4007.65 |
Total Drug Medicare PaymentAmount |
3125.03 |
Total Drug Medicare Standardized Payment Amount |
3125.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
11580 |
Number Of Medicare Beneficiaries With Medical Services |
6336 |
Total Medical Submitted Charge Amount |
1929060.9 |
Total Medical Medicare Allowed Amount |
963045.58 |
Total Medical Medicare Payment Amount |
806729.47 |
Total Medical Medicare Standardized Payment Amount |
773072.72 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
250 |
Number Of Beneficiaries Age 65 to 74 |
3060 |
Number Of Beneficiaries Age 75 to 84 |
2261 |
Number Of Beneficiaries Age Greater 84 |
767 |
Number Of Female Beneficiaries |
4863 |
Number Of Male Beneficiaries |
1475 |
Number Of Non Hispanic White Beneficiaries |
5839 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
287 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
85 |
Number Of Beneficiaries With Medicare Only Entitlement |
5967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0291 |