National Provider Identifier [NPI]: |
1639172695 |
Last Name Of The Provider |
SHAPIR |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 MEADOWS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862304 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
21722 |
Number Of Medicare Beneficiaries |
6333 |
Total Submitted Charge Amount |
1947689.5 |
Total Medicare Allowed Amount |
850110.93 |
Total Medicare Payment Amount |
651654.03 |
Total Medicare Standardized Payment Amount |
638454.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10437 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
9823.5 |
Total Drug Medicare AllowedAmount |
4951.4 |
Total Drug Medicare PaymentAmount |
3851.79 |
Total Drug Medicare Standardized Payment Amount |
3851.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
11285 |
Number Of Medicare Beneficiaries With Medical Services |
6329 |
Total Medical Submitted Charge Amount |
1937866 |
Total Medical Medicare Allowed Amount |
845159.53 |
Total Medical Medicare Payment Amount |
647802.24 |
Total Medical Medicare Standardized Payment Amount |
634603.09 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
1571 |
Number Of Beneficiaries Age 75 to 84 |
2217 |
Number Of Beneficiaries Age Greater 84 |
2297 |
Number Of Female Beneficiaries |
3523 |
Number Of Male Beneficiaries |
2810 |
Number Of Non Hispanic White Beneficiaries |
5977 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
154 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
76 |
Number Of Beneficiaries With Medicare Only Entitlement |
5870 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
463 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9419 |