National Provider Identifier [NPI]: |
1780629725 |
Last Name Of The Provider |
RODRIGUEZ |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 S SEACREST BLVD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334357944 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
11396 |
Number Of Medicare Beneficiaries |
188 |
Total Submitted Charge Amount |
1880577 |
Total Medicare Allowed Amount |
744330.5 |
Total Medicare Payment Amount |
577455.27 |
Total Medicare Standardized Payment Amount |
479829.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5643 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
228850 |
Total Drug Medicare AllowedAmount |
17190.12 |
Total Drug Medicare PaymentAmount |
13477.74 |
Total Drug Medicare Standardized Payment Amount |
13477.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
5753 |
Number Of Medicare Beneficiaries With Medical Services |
188 |
Total Medical Submitted Charge Amount |
1651727 |
Total Medical Medicare Allowed Amount |
727140.38 |
Total Medical Medicare Payment Amount |
563977.53 |
Total Medical Medicare Standardized Payment Amount |
466351.64 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
95 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7356 |