National Provider Identifier [NPI]: |
1427048081 |
Last Name Of The Provider |
LUCARELLA |
First Name Of The Provider |
VANESSA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
455 PINELLAS ST |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563356 |
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 |
60 |
Number Of Services |
11861 |
Number Of Medicare Beneficiaries |
2867 |
Total Submitted Charge Amount |
2108861 |
Total Medicare Allowed Amount |
997257.71 |
Total Medicare Payment Amount |
766049.61 |
Total Medicare Standardized Payment Amount |
774657.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2539 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
71373 |
Total Drug Medicare AllowedAmount |
34242.55 |
Total Drug Medicare PaymentAmount |
26714.76 |
Total Drug Medicare Standardized Payment Amount |
26714.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
9322 |
Number Of Medicare Beneficiaries With Medical Services |
2867 |
Total Medical Submitted Charge Amount |
2037488 |
Total Medical Medicare Allowed Amount |
963015.16 |
Total Medical Medicare Payment Amount |
739334.85 |
Total Medical Medicare Standardized Payment Amount |
747942.48 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
818 |
Number Of Beneficiaries Age 75 to 84 |
1064 |
Number Of Beneficiaries Age Greater 84 |
792 |
Number Of Female Beneficiaries |
1496 |
Number Of Male Beneficiaries |
1371 |
Number Of Non Hispanic White Beneficiaries |
2684 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
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 |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.81 |