National Provider Identifier [NPI]: |
1831337419 |
Last Name Of The Provider |
GIVENS |
First Name Of The Provider |
MARGARITA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3830 BEE RIDGE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342331105 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
2559 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
299182.68 |
Total Medicare Allowed Amount |
127364.67 |
Total Medicare Payment Amount |
89579.23 |
Total Medicare Standardized Payment Amount |
104223.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
9640 |
Total Drug Medicare AllowedAmount |
8292.5 |
Total Drug Medicare PaymentAmount |
6465.29 |
Total Drug Medicare Standardized Payment Amount |
6465.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2459 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
289542.68 |
Total Medical Medicare Allowed Amount |
119072.17 |
Total Medical Medicare Payment Amount |
83113.94 |
Total Medical Medicare Standardized Payment Amount |
97758.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
354 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
453 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
663 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
663 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0737 |