National Provider Identifier [NPI]: |
1144268988 |
Last Name Of The Provider |
AUERBACH |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
790 CONCOURSE PKWY S |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MAITLAND |
Zip Code Of The Provider |
327516114 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5020 |
Number Of Medicare Beneficiaries |
1651 |
Total Submitted Charge Amount |
1997271 |
Total Medicare Allowed Amount |
601763.37 |
Total Medicare Payment Amount |
446147.75 |
Total Medicare Standardized Payment Amount |
446236.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1069 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
22418 |
Total Drug Medicare AllowedAmount |
5864.2 |
Total Drug Medicare PaymentAmount |
4382.52 |
Total Drug Medicare Standardized Payment Amount |
4382.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3951 |
Number Of Medicare Beneficiaries With Medical Services |
1651 |
Total Medical Submitted Charge Amount |
1974853 |
Total Medical Medicare Allowed Amount |
595899.17 |
Total Medical Medicare Payment Amount |
441765.23 |
Total Medical Medicare Standardized Payment Amount |
441853.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
760 |
Number Of Beneficiaries Age 75 to 84 |
552 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
1025 |
Number Of Male Beneficiaries |
626 |
Number Of Non Hispanic White Beneficiaries |
1437 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1334 |