National Provider Identifier [NPI]: |
1942259148 |
Last Name Of The Provider |
SUTTON |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10301 HAGEN RANCH RD |
Street Address 2 Of The Provider |
SUITE 3B |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334373724 |
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 |
22 |
Number Of Services |
1693 |
Number Of Medicare Beneficiaries |
1127 |
Total Submitted Charge Amount |
181706.56 |
Total Medicare Allowed Amount |
60454.75 |
Total Medicare Payment Amount |
46302.95 |
Total Medicare Standardized Payment Amount |
44354.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1693 |
Number Of Medicare Beneficiaries With Medical Services |
1127 |
Total Medical Submitted Charge Amount |
181706.56 |
Total Medical Medicare Allowed Amount |
60454.75 |
Total Medical Medicare Payment Amount |
46302.95 |
Total Medical Medicare Standardized Payment Amount |
44354.86 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
401 |
Number Of Beneficiaries Age Greater 84 |
368 |
Number Of Female Beneficiaries |
591 |
Number Of Male Beneficiaries |
536 |
Number Of Non Hispanic White Beneficiaries |
947 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
872 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
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 |
2.3913 |