National Provider Identifier [NPI]: |
1073706081 |
Last Name Of The Provider |
CAO |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD, MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4300 ALTON RD |
Street Address 2 Of The Provider |
EMERGENCY DEPARTMENT |
City Of The Provider |
MIAMI BEACH |
Zip Code Of The Provider |
331402800 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
961 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
994200 |
Total Medicare Allowed Amount |
163862.22 |
Total Medicare Payment Amount |
125093.6 |
Total Medicare Standardized Payment Amount |
112894.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
961 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
994200 |
Total Medical Medicare Allowed Amount |
163862.22 |
Total Medical Medicare Payment Amount |
125093.6 |
Total Medical Medicare Standardized Payment Amount |
112894.51 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
445 |
Number Of Male Beneficiaries |
367 |
Number Of Non Hispanic White Beneficiaries |
417 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
304 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
372 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
440 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.4957 |