National Provider Identifier [NPI]: |
1275521494 |
Last Name Of The Provider |
GUZMAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2415 QUANTUM BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334268612 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3974 |
Number Of Medicare Beneficiaries |
2225 |
Total Submitted Charge Amount |
572108 |
Total Medicare Allowed Amount |
277815.03 |
Total Medicare Payment Amount |
186470.9 |
Total Medicare Standardized Payment Amount |
181613.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
403 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
11095 |
Total Drug Medicare AllowedAmount |
2103.82 |
Total Drug Medicare PaymentAmount |
1814.18 |
Total Drug Medicare Standardized Payment Amount |
1814.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3571 |
Number Of Medicare Beneficiaries With Medical Services |
2225 |
Total Medical Submitted Charge Amount |
561013 |
Total Medical Medicare Allowed Amount |
275711.21 |
Total Medical Medicare Payment Amount |
184656.72 |
Total Medical Medicare Standardized Payment Amount |
179798.86 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
864 |
Number Of Beneficiaries Age 75 to 84 |
933 |
Number Of Beneficiaries Age Greater 84 |
378 |
Number Of Female Beneficiaries |
1347 |
Number Of Male Beneficiaries |
878 |
Number Of Non Hispanic White Beneficiaries |
2169 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2195 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1643 |