National Provider Identifier [NPI]: |
1720240922 |
Last Name Of The Provider |
BABIUCH |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7101 FAIRWAY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALM BEACH GARDENS |
Zip Code Of The Provider |
334183701 |
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 |
26 |
Number Of Services |
3395 |
Number Of Medicare Beneficiaries |
635 |
Total Submitted Charge Amount |
1626968.66 |
Total Medicare Allowed Amount |
349284.93 |
Total Medicare Payment Amount |
260977.17 |
Total Medicare Standardized Payment Amount |
264991.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
158 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
352979.66 |
Total Drug Medicare AllowedAmount |
120059.61 |
Total Drug Medicare PaymentAmount |
93411.22 |
Total Drug Medicare Standardized Payment Amount |
93411.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
3237 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
1273989 |
Total Medical Medicare Allowed Amount |
229225.32 |
Total Medical Medicare Payment Amount |
167565.95 |
Total Medical Medicare Standardized Payment Amount |
171580.53 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
362 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
585 |
Number Of Black or African American Beneficiaries |
27 |
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 |
529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4617 |