National Provider Identifier [NPI]: |
1770500241 |
Last Name Of The Provider |
MITCHELL |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22023 ST RD #7 |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
33428 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
11615 |
Number Of Medicare Beneficiaries |
2322 |
Total Submitted Charge Amount |
1229317 |
Total Medicare Allowed Amount |
751622.66 |
Total Medicare Payment Amount |
549071.91 |
Total Medicare Standardized Payment Amount |
525230.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
11615 |
Number Of Medicare Beneficiaries With Medical Services |
2322 |
Total Medical Submitted Charge Amount |
1229317 |
Total Medical Medicare Allowed Amount |
751622.66 |
Total Medical Medicare Payment Amount |
549071.91 |
Total Medical Medicare Standardized Payment Amount |
525230.97 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
863 |
Number Of Beneficiaries Age 75 to 84 |
881 |
Number Of Beneficiaries Age Greater 84 |
544 |
Number Of Female Beneficiaries |
1386 |
Number Of Male Beneficiaries |
936 |
Number Of Non Hispanic White Beneficiaries |
2238 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1484 |