National Provider Identifier [NPI]: |
1841258829 |
Last Name Of The Provider |
MARULL |
First Name Of The Provider |
ARMANDO |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10111 W FOREST HILL BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
WELLINGTON |
Zip Code Of The Provider |
334146108 |
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 |
19 |
Number Of Services |
2453 |
Number Of Medicare Beneficiaries |
348 |
Total Submitted Charge Amount |
293319.37 |
Total Medicare Allowed Amount |
252007.23 |
Total Medicare Payment Amount |
186511.38 |
Total Medicare Standardized Payment Amount |
178207.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
1678 |
Total Drug Medicare AllowedAmount |
1275.59 |
Total Drug Medicare PaymentAmount |
1245.4 |
Total Drug Medicare Standardized Payment Amount |
1245.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
2355 |
Number Of Medicare Beneficiaries With Medical Services |
348 |
Total Medical Submitted Charge Amount |
291641.37 |
Total Medical Medicare Allowed Amount |
250731.64 |
Total Medical Medicare Payment Amount |
185265.98 |
Total Medical Medicare Standardized Payment Amount |
176962.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
81 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
207 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
95 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
253 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3873 |