National Provider Identifier [NPI]: |
1326011545 |
Last Name Of The Provider |
CHALEFF |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7050 NW 4TH STREET |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
33317 |
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 |
66 |
Number Of Services |
4101 |
Number Of Medicare Beneficiaries |
840 |
Total Submitted Charge Amount |
538882.81 |
Total Medicare Allowed Amount |
404650.06 |
Total Medicare Payment Amount |
304855.91 |
Total Medicare Standardized Payment Amount |
296662.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
121 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
9025 |
Total Drug Medicare AllowedAmount |
6364.97 |
Total Drug Medicare PaymentAmount |
4878.15 |
Total Drug Medicare Standardized Payment Amount |
4878.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
3980 |
Number Of Medicare Beneficiaries With Medical Services |
839 |
Total Medical Submitted Charge Amount |
529857.81 |
Total Medical Medicare Allowed Amount |
398285.09 |
Total Medical Medicare Payment Amount |
299977.76 |
Total Medical Medicare Standardized Payment Amount |
291784.06 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
636 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
674 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0752 |