National Provider Identifier [NPI]: |
1609839182 |
Last Name Of The Provider |
DUBNER |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 N UNIVERSITY DR |
Street Address 2 Of The Provider |
SUITE K |
City Of The Provider |
CORAL SPRINGS |
Zip Code Of The Provider |
330655055 |
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 |
31 |
Number Of Services |
5252 |
Number Of Medicare Beneficiaries |
657 |
Total Submitted Charge Amount |
280665 |
Total Medicare Allowed Amount |
259387.9 |
Total Medicare Payment Amount |
191897.04 |
Total Medicare Standardized Payment Amount |
179242.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
142 |
Total Drug Medicare AllowedAmount |
125.99 |
Total Drug Medicare PaymentAmount |
98.66 |
Total Drug Medicare Standardized Payment Amount |
98.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
5181 |
Number Of Medicare Beneficiaries With Medical Services |
657 |
Total Medical Submitted Charge Amount |
280523 |
Total Medical Medicare Allowed Amount |
259261.91 |
Total Medical Medicare Payment Amount |
191798.38 |
Total Medical Medicare Standardized Payment Amount |
179144.29 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
323 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
338 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
612 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1144 |