National Provider Identifier [NPI]: |
1407991839 |
Last Name Of The Provider |
MISHKEL |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 GLADES RD |
Street Address 2 Of The Provider |
EAST TOWER SUITE 200 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334317386 |
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 |
85 |
Number Of Services |
12319 |
Number Of Medicare Beneficiaries |
1891 |
Total Submitted Charge Amount |
1634067.17 |
Total Medicare Allowed Amount |
1002587.21 |
Total Medicare Payment Amount |
758197.01 |
Total Medicare Standardized Payment Amount |
730195.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1002 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
202185.32 |
Total Drug Medicare AllowedAmount |
39661.64 |
Total Drug Medicare PaymentAmount |
30641.62 |
Total Drug Medicare Standardized Payment Amount |
30641.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
11317 |
Number Of Medicare Beneficiaries With Medical Services |
1891 |
Total Medical Submitted Charge Amount |
1431881.85 |
Total Medical Medicare Allowed Amount |
962925.57 |
Total Medical Medicare Payment Amount |
727555.39 |
Total Medical Medicare Standardized Payment Amount |
699554.08 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
481 |
Number Of Beneficiaries Age 75 to 84 |
698 |
Number Of Beneficiaries Age Greater 84 |
659 |
Number Of Female Beneficiaries |
923 |
Number Of Male Beneficiaries |
968 |
Number Of Non Hispanic White Beneficiaries |
1797 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8406 |