National Provider Identifier [NPI]: |
1205881976 |
Last Name Of The Provider |
BAUDO |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2750 INDIAN RIVER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329605225 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
41596 |
Number Of Medicare Beneficiaries |
1971 |
Total Submitted Charge Amount |
10009551.08 |
Total Medicare Allowed Amount |
9864945.42 |
Total Medicare Payment Amount |
7669394.52 |
Total Medicare Standardized Payment Amount |
7585249.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
17200 |
Number Of Medicare Beneficiaries With Drug Services |
477 |
Total Drug Submitted ChargeAmount |
7541584.55 |
Total Drug Medicare AllowedAmount |
7473192.3 |
Total Drug Medicare PaymentAmount |
5858547.73 |
Total Drug Medicare Standardized Payment Amount |
5858547.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
24396 |
Number Of Medicare Beneficiaries With Medical Services |
1971 |
Total Medical Submitted Charge Amount |
2467966.53 |
Total Medical Medicare Allowed Amount |
2391753.12 |
Total Medical Medicare Payment Amount |
1810846.79 |
Total Medical Medicare Standardized Payment Amount |
1726702.26 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
591 |
Number Of Beneficiaries Age 75 to 84 |
739 |
Number Of Beneficiaries Age Greater 84 |
577 |
Number Of Female Beneficiaries |
1067 |
Number Of Male Beneficiaries |
904 |
Number Of Non Hispanic White Beneficiaries |
1848 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1851 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.378 |