National Provider Identifier [NPI]: |
1053383703 |
Last Name Of The Provider |
MAY |
First Name Of The Provider |
SUSANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, MPH |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5701 OVERSEAS HWY |
Street Address 2 Of The Provider |
STE 17 |
City Of The Provider |
MARATHON |
Zip Code Of The Provider |
330502784 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1571 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
265464.59 |
Total Medicare Allowed Amount |
127357.77 |
Total Medicare Payment Amount |
92393.35 |
Total Medicare Standardized Payment Amount |
85834.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1191 |
Total Drug Medicare AllowedAmount |
148.69 |
Total Drug Medicare PaymentAmount |
114.84 |
Total Drug Medicare Standardized Payment Amount |
114.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1519 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
264273.59 |
Total Medical Medicare Allowed Amount |
127209.08 |
Total Medical Medicare Payment Amount |
92278.51 |
Total Medical Medicare Standardized Payment Amount |
85719.35 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
210 |
Number Of Black or African American Beneficiaries |
|
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 |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0895 |