National Provider Identifier [NPI]: |
1558352708 |
Last Name Of The Provider |
FARBER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1325 S CONGRESS AVE |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334265876 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2551 |
Number Of Medicare Beneficiaries |
453 |
Total Submitted Charge Amount |
354540 |
Total Medicare Allowed Amount |
243882.57 |
Total Medicare Payment Amount |
186394.05 |
Total Medicare Standardized Payment Amount |
180941.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
260 |
Total Drug Medicare AllowedAmount |
43.8 |
Total Drug Medicare PaymentAmount |
34.32 |
Total Drug Medicare Standardized Payment Amount |
34.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2538 |
Number Of Medicare Beneficiaries With Medical Services |
453 |
Total Medical Submitted Charge Amount |
354280 |
Total Medical Medicare Allowed Amount |
243838.77 |
Total Medical Medicare Payment Amount |
186359.73 |
Total Medical Medicare Standardized Payment Amount |
180907.2 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
258 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
416 |
Number Of Black or African American Beneficiaries |
16 |
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 |
400 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.119 |