National Provider Identifier [NPI]: |
1194808063 |
Last Name Of The Provider |
LEVENSON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7301 W PALMETTO PARK RD |
Street Address 2 Of The Provider |
SUITE 108B |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334333458 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
37614 |
Number Of Medicare Beneficiaries |
1576 |
Total Submitted Charge Amount |
1401736.57 |
Total Medicare Allowed Amount |
1059783.39 |
Total Medicare Payment Amount |
895152.28 |
Total Medicare Standardized Payment Amount |
854704.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
825 |
Total Drug Medicare AllowedAmount |
471.9 |
Total Drug Medicare PaymentAmount |
462.55 |
Total Drug Medicare Standardized Payment Amount |
462.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
37559 |
Number Of Medicare Beneficiaries With Medical Services |
1576 |
Total Medical Submitted Charge Amount |
1400911.57 |
Total Medical Medicare Allowed Amount |
1059311.49 |
Total Medical Medicare Payment Amount |
894689.73 |
Total Medical Medicare Standardized Payment Amount |
854241.65 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
658 |
Number Of Beneficiaries Age Greater 84 |
405 |
Number Of Female Beneficiaries |
984 |
Number Of Male Beneficiaries |
592 |
Number Of Non Hispanic White Beneficiaries |
1523 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
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 |
1541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6132 |