National Provider Identifier [NPI]: |
1689615023 |
Last Name Of The Provider |
MERA |
First Name Of The Provider |
FERNANDO |
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 |
8950 N KENDALL DR |
Street Address 2 Of The Provider |
SUITE 601 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331762144 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
2696 |
Number Of Medicare Beneficiaries |
926 |
Total Submitted Charge Amount |
764881.5 |
Total Medicare Allowed Amount |
240755.86 |
Total Medicare Payment Amount |
182882.69 |
Total Medicare Standardized Payment Amount |
166411.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
6812 |
Total Drug Medicare AllowedAmount |
2753.83 |
Total Drug Medicare PaymentAmount |
2159 |
Total Drug Medicare Standardized Payment Amount |
2159 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
2644 |
Number Of Medicare Beneficiaries With Medical Services |
926 |
Total Medical Submitted Charge Amount |
758069.5 |
Total Medical Medicare Allowed Amount |
238002.03 |
Total Medical Medicare Payment Amount |
180723.69 |
Total Medical Medicare Standardized Payment Amount |
164252.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
452 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
409 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
370 |
Percent Of With Atrial Fibrillation |
43 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3103 |