National Provider Identifier [NPI]: |
1821209131 |
Last Name Of The Provider |
MANIOS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 SW 160TH AVE |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
MIRAMAR |
Zip Code Of The Provider |
330276308 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
5342 |
Number Of Medicare Beneficiaries |
441 |
Total Submitted Charge Amount |
597661.75 |
Total Medicare Allowed Amount |
542560.28 |
Total Medicare Payment Amount |
419061.15 |
Total Medicare Standardized Payment Amount |
362947.75 |
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 |
12 |
Number Of Medical Services |
5342 |
Number Of Medicare Beneficiaries With Medical Services |
441 |
Total Medical Submitted Charge Amount |
597661.75 |
Total Medical Medicare Allowed Amount |
542560.28 |
Total Medical Medicare Payment Amount |
419061.15 |
Total Medical Medicare Standardized Payment Amount |
362947.75 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
241 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
68 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
92 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
349 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
66 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
3.2401 |