National Provider Identifier [NPI]: |
1093806499 |
Last Name Of The Provider |
PARENTE |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2101 NIGHTINGALE LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAVARES |
Zip Code Of The Provider |
327784365 |
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 |
67 |
Number Of Services |
8562 |
Number Of Medicare Beneficiaries |
985 |
Total Submitted Charge Amount |
736231.82 |
Total Medicare Allowed Amount |
720929.92 |
Total Medicare Payment Amount |
548579.3 |
Total Medicare Standardized Payment Amount |
551314.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
625 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
32631.25 |
Total Drug Medicare AllowedAmount |
32631.25 |
Total Drug Medicare PaymentAmount |
25582.81 |
Total Drug Medicare Standardized Payment Amount |
25582.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
7937 |
Number Of Medicare Beneficiaries With Medical Services |
985 |
Total Medical Submitted Charge Amount |
703600.57 |
Total Medical Medicare Allowed Amount |
688298.67 |
Total Medical Medicare Payment Amount |
522996.49 |
Total Medical Medicare Standardized Payment Amount |
525731.62 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
406 |
Number Of Beneficiaries Age Greater 84 |
233 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
459 |
Number Of Non Hispanic White Beneficiaries |
920 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
862 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6018 |