National Provider Identifier [NPI]: |
1265467716 |
Last Name Of The Provider |
LITWINCZUK |
First Name Of The Provider |
ZBIGNIEW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
108 INTRACOASTAL POINTE DR |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334775036 |
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 |
80 |
Number Of Services |
4659 |
Number Of Medicare Beneficiaries |
1197 |
Total Submitted Charge Amount |
1016211 |
Total Medicare Allowed Amount |
516437.13 |
Total Medicare Payment Amount |
393532.4 |
Total Medicare Standardized Payment Amount |
375190.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
116 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
8120 |
Total Drug Medicare AllowedAmount |
6134.75 |
Total Drug Medicare PaymentAmount |
4809.58 |
Total Drug Medicare Standardized Payment Amount |
4809.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
4543 |
Number Of Medicare Beneficiaries With Medical Services |
1197 |
Total Medical Submitted Charge Amount |
1008091 |
Total Medical Medicare Allowed Amount |
510302.38 |
Total Medical Medicare Payment Amount |
388722.82 |
Total Medical Medicare Standardized Payment Amount |
370381.03 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
451 |
Number Of Beneficiaries Age Greater 84 |
340 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
647 |
Number Of Non Hispanic White Beneficiaries |
1117 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1097 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9372 |