National Provider Identifier [NPI]: |
1932159043 |
Last Name Of The Provider |
CONDE |
First Name Of The Provider |
CESAR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4302 ALTON RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MIAMI BEACH |
Zip Code Of The Provider |
331402891 |
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 |
38 |
Number Of Services |
12702 |
Number Of Medicare Beneficiaries |
3606 |
Total Submitted Charge Amount |
850265.01 |
Total Medicare Allowed Amount |
648210.48 |
Total Medicare Payment Amount |
492515.85 |
Total Medicare Standardized Payment Amount |
473342.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
470 |
Total Drug Medicare AllowedAmount |
64.18 |
Total Drug Medicare PaymentAmount |
56.08 |
Total Drug Medicare Standardized Payment Amount |
56.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
12658 |
Number Of Medicare Beneficiaries With Medical Services |
3606 |
Total Medical Submitted Charge Amount |
849795.01 |
Total Medical Medicare Allowed Amount |
648146.3 |
Total Medical Medicare Payment Amount |
492459.77 |
Total Medical Medicare Standardized Payment Amount |
473286.35 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
512 |
Number Of Beneficiaries Age 65 to 74 |
969 |
Number Of Beneficiaries Age 75 to 84 |
1144 |
Number Of Beneficiaries Age Greater 84 |
981 |
Number Of Female Beneficiaries |
1839 |
Number Of Male Beneficiaries |
1767 |
Number Of Non Hispanic White Beneficiaries |
1866 |
Number Of Black or African American Beneficiaries |
297 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1374 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
1900 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1706 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2429 |