National Provider Identifier [NPI]: |
1497711576 |
Last Name Of The Provider |
ARONSKI |
First Name Of The Provider |
WOJTEK |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
635 1ST ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338814129 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
2356 |
Number Of Medicare Beneficiaries |
284 |
Total Submitted Charge Amount |
436900.16 |
Total Medicare Allowed Amount |
216317.52 |
Total Medicare Payment Amount |
167069.67 |
Total Medicare Standardized Payment Amount |
165355.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1250 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
2300 |
Total Drug Medicare AllowedAmount |
272.25 |
Total Drug Medicare PaymentAmount |
213.42 |
Total Drug Medicare Standardized Payment Amount |
213.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
164 |
Number Of Medical Services |
1106 |
Number Of Medicare Beneficiaries With Medical Services |
284 |
Total Medical Submitted Charge Amount |
434600.16 |
Total Medical Medicare Allowed Amount |
216045.27 |
Total Medical Medicare Payment Amount |
166856.25 |
Total Medical Medicare Standardized Payment Amount |
165141.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
243 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.63 |