National Provider Identifier [NPI]: |
1548213200 |
Last Name Of The Provider |
WEINSTOCK |
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 |
511 MEDICAL PLAZA DR STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347487328 |
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 |
168 |
Number Of Services |
35777.5 |
Number Of Medicare Beneficiaries |
2013 |
Total Submitted Charge Amount |
3932287.31 |
Total Medicare Allowed Amount |
2372529.32 |
Total Medicare Payment Amount |
1853445.86 |
Total Medicare Standardized Payment Amount |
1879598.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
24798.5 |
Number Of Medicare Beneficiaries With Drug Services |
347 |
Total Drug Submitted ChargeAmount |
72245.55 |
Total Drug Medicare AllowedAmount |
48849.08 |
Total Drug Medicare PaymentAmount |
38311 |
Total Drug Medicare Standardized Payment Amount |
38311 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
10979 |
Number Of Medicare Beneficiaries With Medical Services |
2013 |
Total Medical Submitted Charge Amount |
3860041.76 |
Total Medical Medicare Allowed Amount |
2323680.24 |
Total Medical Medicare Payment Amount |
1815134.86 |
Total Medical Medicare Standardized Payment Amount |
1841287.53 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
701 |
Number Of Beneficiaries Age 75 to 84 |
886 |
Number Of Beneficiaries Age Greater 84 |
379 |
Number Of Female Beneficiaries |
920 |
Number Of Male Beneficiaries |
1093 |
Number Of Non Hispanic White Beneficiaries |
1926 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1896 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4253 |