National Provider Identifier [NPI]: |
1821191099 |
Last Name Of The Provider |
WEINSTEIN |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7740 BOYNTON BEACH BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334373804 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
8394 |
Number Of Medicare Beneficiaries |
1079 |
Total Submitted Charge Amount |
1728082 |
Total Medicare Allowed Amount |
803862.15 |
Total Medicare Payment Amount |
611078.88 |
Total Medicare Standardized Payment Amount |
569087.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
7786 |
Total Drug Medicare AllowedAmount |
7678.98 |
Total Drug Medicare PaymentAmount |
6010.53 |
Total Drug Medicare Standardized Payment Amount |
6010.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
8285 |
Number Of Medicare Beneficiaries With Medical Services |
1079 |
Total Medical Submitted Charge Amount |
1720296 |
Total Medical Medicare Allowed Amount |
796183.17 |
Total Medical Medicare Payment Amount |
605068.35 |
Total Medical Medicare Standardized Payment Amount |
563077.44 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
451 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
568 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
1053 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1066 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1477 |