National Provider Identifier [NPI]: |
1205021656 |
Last Name Of The Provider |
BAREJA |
First Name Of The Provider |
SYLWIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13681 DOCTORS WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339124300 |
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 |
32 |
Number Of Services |
899 |
Number Of Medicare Beneficiaries |
734 |
Total Submitted Charge Amount |
155455 |
Total Medicare Allowed Amount |
83279.32 |
Total Medicare Payment Amount |
52439.7 |
Total Medicare Standardized Payment Amount |
60566.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
573 |
Total Drug Medicare AllowedAmount |
489.93 |
Total Drug Medicare PaymentAmount |
447.22 |
Total Drug Medicare Standardized Payment Amount |
447.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
878 |
Number Of Medicare Beneficiaries With Medical Services |
734 |
Total Medical Submitted Charge Amount |
154882 |
Total Medical Medicare Allowed Amount |
82789.39 |
Total Medical Medicare Payment Amount |
51992.48 |
Total Medical Medicare Standardized Payment Amount |
60119.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
425 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
705 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
715 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8616 |