National Provider Identifier [NPI]: |
1437184322 |
Last Name Of The Provider |
LIEBERMAN |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5035 VIA DELRAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334841315 |
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 |
67 |
Number Of Services |
14603 |
Number Of Medicare Beneficiaries |
1898 |
Total Submitted Charge Amount |
1924105.22 |
Total Medicare Allowed Amount |
785264.55 |
Total Medicare Payment Amount |
589930.38 |
Total Medicare Standardized Payment Amount |
566649.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
380 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
49700 |
Total Drug Medicare AllowedAmount |
20120.92 |
Total Drug Medicare PaymentAmount |
15774.72 |
Total Drug Medicare Standardized Payment Amount |
15774.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
14223 |
Number Of Medicare Beneficiaries With Medical Services |
1898 |
Total Medical Submitted Charge Amount |
1874405.22 |
Total Medical Medicare Allowed Amount |
765143.63 |
Total Medical Medicare Payment Amount |
574155.66 |
Total Medical Medicare Standardized Payment Amount |
550874.76 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
887 |
Number Of Beneficiaries Age Greater 84 |
618 |
Number Of Female Beneficiaries |
885 |
Number Of Male Beneficiaries |
1013 |
Number Of Non Hispanic White Beneficiaries |
1858 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1866 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.685 |