National Provider Identifier [NPI]: |
1669696407 |
Last Name Of The Provider |
GALANI |
First Name Of The Provider |
RUPLE |
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 |
14546 OLD SAINT AUGUSTINE RD STE 103 |
Street Address 2 Of The Provider |
CREDENTIALING DEPARTMENT |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322585469 |
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 |
53 |
Number Of Services |
6428 |
Number Of Medicare Beneficiaries |
3042 |
Total Submitted Charge Amount |
741873.31 |
Total Medicare Allowed Amount |
310969.49 |
Total Medicare Payment Amount |
237872.28 |
Total Medicare Standardized Payment Amount |
238244.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6428 |
Number Of Medicare Beneficiaries With Medical Services |
3042 |
Total Medical Submitted Charge Amount |
741873.31 |
Total Medical Medicare Allowed Amount |
310969.49 |
Total Medical Medicare Payment Amount |
237872.28 |
Total Medical Medicare Standardized Payment Amount |
238244.02 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
308 |
Number Of Beneficiaries Age 65 to 74 |
1084 |
Number Of Beneficiaries Age 75 to 84 |
1000 |
Number Of Beneficiaries Age Greater 84 |
650 |
Number Of Female Beneficiaries |
1746 |
Number Of Male Beneficiaries |
1296 |
Number Of Non Hispanic White Beneficiaries |
2651 |
Number Of Black or African American Beneficiaries |
245 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2589 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
453 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.769 |