National Provider Identifier [NPI]: |
1538125836 |
Last Name Of The Provider |
FRANCA |
First Name Of The Provider |
EDUARDO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3663 S MIAMI AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331334253 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
226 |
Number Of Services |
7442 |
Number Of Medicare Beneficiaries |
3668 |
Total Submitted Charge Amount |
643708 |
Total Medicare Allowed Amount |
217063.66 |
Total Medicare Payment Amount |
164368.09 |
Total Medicare Standardized Payment Amount |
152405.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
226 |
Number Of Medical Services |
7442 |
Number Of Medicare Beneficiaries With Medical Services |
3668 |
Total Medical Submitted Charge Amount |
643708 |
Total Medical Medicare Allowed Amount |
217063.66 |
Total Medical Medicare Payment Amount |
164368.09 |
Total Medical Medicare Standardized Payment Amount |
152405.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
504 |
Number Of Beneficiaries Age 65 to 74 |
971 |
Number Of Beneficiaries Age 75 to 84 |
1234 |
Number Of Beneficiaries Age Greater 84 |
959 |
Number Of Female Beneficiaries |
2208 |
Number Of Male Beneficiaries |
1460 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
3007 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
906 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2762 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3545 |