Medicare Facts for Dr. Eric J. Balaguer, MD


National Provider Identifier [NPI]: 1679747067
Last Name Of The Provider BALAGUER
First Name Of The Provider ERIC
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8905 SW 87TH AVE
Street Address 2 Of The Provider SUITE 100
City Of The Provider MIAMI
Zip Code Of The Provider 331762227
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Hand Surgery
Medicare Participation Indicator Y
Number Of HCPCS 86
Number Of Services 1262
Number Of Medicare Beneficiaries 226
Total Submitted Charge Amount 873864.17
Total Medicare Allowed Amount 204451.75
Total Medicare Payment Amount 152102.64
Total Medicare Standardized Payment Amount 138687.08
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 124
Number Of Medicare Beneficiaries With Drug Services 32
Total Drug Submitted ChargeAmount 527
Total Drug Medicare AllowedAmount 56.98
Total Drug Medicare PaymentAmount 43.3
Total Drug Medicare Standardized Payment Amount 43.3
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 84
Number Of Medical Services 1138
Number Of Medicare Beneficiaries With Medical Services 226
Total Medical Submitted Charge Amount 873337.17
Total Medical Medicare Allowed Amount 204394.77
Total Medical Medicare Payment Amount 152059.34
Total Medical Medicare Standardized Payment Amount 138643.78
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 83
Number Of Beneficiaries Age 75 to 84 64
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 154
Number Of Male Beneficiaries 72
Number Of Non Hispanic White Beneficiaries 75
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 139
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 122
Number Of Beneficiaries With Medicare Medicaid Entitlement 104
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 9
Percent Of With Cancer 10
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 29
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.3892

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