National Provider Identifier [NPI]: |
1740265610 |
Last Name Of The Provider |
MERRILL |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 NW 9TH CT |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862268 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
6385 |
Number Of Medicare Beneficiaries |
1626 |
Total Submitted Charge Amount |
724160.48 |
Total Medicare Allowed Amount |
620816.23 |
Total Medicare Payment Amount |
477099.64 |
Total Medicare Standardized Payment Amount |
454174.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
484 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
36300 |
Total Drug Medicare AllowedAmount |
24760.9 |
Total Drug Medicare PaymentAmount |
19412.37 |
Total Drug Medicare Standardized Payment Amount |
19412.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
5901 |
Number Of Medicare Beneficiaries With Medical Services |
1626 |
Total Medical Submitted Charge Amount |
687860.48 |
Total Medical Medicare Allowed Amount |
596055.33 |
Total Medical Medicare Payment Amount |
457687.27 |
Total Medical Medicare Standardized Payment Amount |
434761.79 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
389 |
Number Of Beneficiaries Age 75 to 84 |
617 |
Number Of Beneficiaries Age Greater 84 |
587 |
Number Of Female Beneficiaries |
788 |
Number Of Male Beneficiaries |
838 |
Number Of Non Hispanic White Beneficiaries |
1549 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.902 |