National Provider Identifier [NPI]: |
1235102476 |
Last Name Of The Provider |
FERNANDES |
First Name Of The Provider |
HILAIRE |
Middle Initial Of The Provider |
L |
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 ST |
Street Address 2 Of The Provider |
STE 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 |
56 |
Number Of Services |
5773 |
Number Of Medicare Beneficiaries |
1041 |
Total Submitted Charge Amount |
501781.8 |
Total Medicare Allowed Amount |
373601.5 |
Total Medicare Payment Amount |
281042.73 |
Total Medicare Standardized Payment Amount |
272113.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
117 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
8525 |
Total Drug Medicare AllowedAmount |
5972.69 |
Total Drug Medicare PaymentAmount |
4690.97 |
Total Drug Medicare Standardized Payment Amount |
4690.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5656 |
Number Of Medicare Beneficiaries With Medical Services |
1041 |
Total Medical Submitted Charge Amount |
493256.8 |
Total Medical Medicare Allowed Amount |
367628.81 |
Total Medical Medicare Payment Amount |
276351.76 |
Total Medical Medicare Standardized Payment Amount |
267422.93 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
322 |
Number Of Female Beneficiaries |
609 |
Number Of Male Beneficiaries |
432 |
Number Of Non Hispanic White Beneficiaries |
836 |
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
870 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8 |