National Provider Identifier [NPI]: |
1215919733 |
Last Name Of The Provider |
BAUM |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 CLINT MOORE RD |
Street Address 2 Of The Provider |
100 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334872768 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
4736 |
Number Of Medicare Beneficiaries |
1331 |
Total Submitted Charge Amount |
843666 |
Total Medicare Allowed Amount |
498928.75 |
Total Medicare Payment Amount |
383444.11 |
Total Medicare Standardized Payment Amount |
365754.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
555 |
Total Drug Medicare AllowedAmount |
319.81 |
Total Drug Medicare PaymentAmount |
295.55 |
Total Drug Medicare Standardized Payment Amount |
295.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4698 |
Number Of Medicare Beneficiaries With Medical Services |
1331 |
Total Medical Submitted Charge Amount |
843111 |
Total Medical Medicare Allowed Amount |
498608.94 |
Total Medical Medicare Payment Amount |
383148.56 |
Total Medical Medicare Standardized Payment Amount |
365458.49 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
486 |
Number Of Beneficiaries Age Greater 84 |
490 |
Number Of Female Beneficiaries |
769 |
Number Of Male Beneficiaries |
562 |
Number Of Non Hispanic White Beneficiaries |
1264 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1222 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.4574 |