National Provider Identifier [NPI]: |
1093923849 |
Last Name Of The Provider |
SALAZAR |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.O./MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3700 WASHINGTON ST |
Street Address 2 Of The Provider |
404 |
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
330218256 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
407 |
Number Of Medicare Beneficiaries |
110 |
Total Submitted Charge Amount |
44493 |
Total Medicare Allowed Amount |
34109.85 |
Total Medicare Payment Amount |
24186.97 |
Total Medicare Standardized Payment Amount |
23063.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
347 |
Total Drug Medicare AllowedAmount |
47.11 |
Total Drug Medicare PaymentAmount |
34.8 |
Total Drug Medicare Standardized Payment Amount |
34.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
371 |
Number Of Medicare Beneficiaries With Medical Services |
110 |
Total Medical Submitted Charge Amount |
44146 |
Total Medical Medicare Allowed Amount |
34062.74 |
Total Medical Medicare Payment Amount |
24152.17 |
Total Medical Medicare Standardized Payment Amount |
23028.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
49 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
63 |
Number Of Male Beneficiaries |
47 |
Number Of Non Hispanic White Beneficiaries |
79 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1752 |