National Provider Identifier [NPI]: |
1629071261 |
Last Name Of The Provider |
HINDIN |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2585 SOUTH STATE ROAD 7 |
Street Address 2 Of The Provider |
STE 110 |
City Of The Provider |
WELLINGTON |
Zip Code Of The Provider |
334149323 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3253 |
Number Of Medicare Beneficiaries |
288 |
Total Submitted Charge Amount |
1300389.98 |
Total Medicare Allowed Amount |
218727.31 |
Total Medicare Payment Amount |
163083.39 |
Total Medicare Standardized Payment Amount |
141721.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
870 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
31189.65 |
Total Drug Medicare AllowedAmount |
4099.35 |
Total Drug Medicare PaymentAmount |
2925.56 |
Total Drug Medicare Standardized Payment Amount |
2925.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2383 |
Number Of Medicare Beneficiaries With Medical Services |
288 |
Total Medical Submitted Charge Amount |
1269200.33 |
Total Medical Medicare Allowed Amount |
214627.96 |
Total Medical Medicare Payment Amount |
160157.83 |
Total Medical Medicare Standardized Payment Amount |
138795.82 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
261 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5204 |