National Provider Identifier [NPI]: |
1700967619 |
Last Name Of The Provider |
CANAS |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1680 MICHIGAN AVE |
Street Address 2 Of The Provider |
SUITE 912 |
City Of The Provider |
MIAMI BEACH |
Zip Code Of The Provider |
331392538 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
741 |
Number Of Medicare Beneficiaries |
55 |
Total Submitted Charge Amount |
51865 |
Total Medicare Allowed Amount |
34945.31 |
Total Medicare Payment Amount |
27341.99 |
Total Medicare Standardized Payment Amount |
26086.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
262 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
9592 |
Total Drug Medicare AllowedAmount |
7399.81 |
Total Drug Medicare PaymentAmount |
7030.35 |
Total Drug Medicare Standardized Payment Amount |
7030.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
479 |
Number Of Medicare Beneficiaries With Medical Services |
55 |
Total Medical Submitted Charge Amount |
42273 |
Total Medical Medicare Allowed Amount |
27545.5 |
Total Medical Medicare Payment Amount |
20311.64 |
Total Medical Medicare Standardized Payment Amount |
19055.81 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
29 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
33 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
45 |
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1143 |