National Provider Identifier [NPI]: |
1417990821 |
Last Name Of The Provider |
ARNOLD |
First Name Of The Provider |
WILLIAM |
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 |
1715 37TH PL |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329604502 |
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 |
73 |
Number Of Services |
6366 |
Number Of Medicare Beneficiaries |
1007 |
Total Submitted Charge Amount |
814580 |
Total Medicare Allowed Amount |
372784.76 |
Total Medicare Payment Amount |
285214.16 |
Total Medicare Standardized Payment Amount |
274106.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
680 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
15658 |
Total Drug Medicare AllowedAmount |
1977.62 |
Total Drug Medicare PaymentAmount |
1773.3 |
Total Drug Medicare Standardized Payment Amount |
1773.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
5686 |
Number Of Medicare Beneficiaries With Medical Services |
1007 |
Total Medical Submitted Charge Amount |
798922 |
Total Medical Medicare Allowed Amount |
370807.14 |
Total Medical Medicare Payment Amount |
283440.86 |
Total Medical Medicare Standardized Payment Amount |
272333.3 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
459 |
Number Of Non Hispanic White Beneficiaries |
961 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
903 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4817 |