| National Provider Identifier [NPI]: | 1073518692 |
| Last Name Of The Provider | RIVLIN |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4308 ALTON RD |
| Street Address 2 Of The Provider | STE 510 |
| City Of The Provider | MIAMI BEACH |
| Zip Code Of The Provider | 331402840 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 86 |
| Number Of Services | 18421 |
| Number Of Medicare Beneficiaries | 5513 |
| Total Submitted Charge Amount | 3770325 |
| Total Medicare Allowed Amount | 1798577.25 |
| Total Medicare Payment Amount | 1368230.57 |
| Total Medicare Standardized Payment Amount | 1027953.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 124 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 7000 |
| Total Drug Medicare AllowedAmount | 6115.71 |
| Total Drug Medicare PaymentAmount | 4783.81 |
| Total Drug Medicare Standardized Payment Amount | 4783.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 84 |
| Number Of Medical Services | 18297 |
| Number Of Medicare Beneficiaries With Medical Services | 5513 |
| Total Medical Submitted Charge Amount | 3763325 |
| Total Medical Medicare Allowed Amount | 1792461.54 |
| Total Medical Medicare Payment Amount | 1363446.76 |
| Total Medical Medicare Standardized Payment Amount | 1023169.82 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 164 |
| Number Of Beneficiaries Age 65 to 74 | 2322 |
| Number Of Beneficiaries Age 75 to 84 | 1865 |
| Number Of Beneficiaries Age Greater 84 | 1162 |
| Number Of Female Beneficiaries | 2787 |
| Number Of Male Beneficiaries | 2726 |
| Number Of Non Hispanic White Beneficiaries | 4947 |
| Number Of Black or African American Beneficiaries | 43 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 405 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 102 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5164 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 349 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1633 |