National Provider Identifier [NPI]: |
1003808544 |
Last Name Of The Provider |
BRODSKY |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 NW 9TH CT |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862268 |
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 |
81 |
Number Of Services |
15216 |
Number Of Medicare Beneficiaries |
1497 |
Total Submitted Charge Amount |
1564752.35 |
Total Medicare Allowed Amount |
741808.87 |
Total Medicare Payment Amount |
570501.79 |
Total Medicare Standardized Payment Amount |
562236.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3565 |
Number Of Medicare Beneficiaries With Drug Services |
255 |
Total Drug Submitted ChargeAmount |
19374 |
Total Drug Medicare AllowedAmount |
11284.76 |
Total Drug Medicare PaymentAmount |
8864.35 |
Total Drug Medicare Standardized Payment Amount |
8864.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
11651 |
Number Of Medicare Beneficiaries With Medical Services |
1497 |
Total Medical Submitted Charge Amount |
1545378.35 |
Total Medical Medicare Allowed Amount |
730524.11 |
Total Medical Medicare Payment Amount |
561637.44 |
Total Medical Medicare Standardized Payment Amount |
553371.81 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
571 |
Number Of Beneficiaries Age Greater 84 |
505 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
726 |
Number Of Non Hispanic White Beneficiaries |
1435 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1448 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
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 |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6494 |