National Provider Identifier [NPI]: |
1225099195 |
Last Name Of The Provider |
POSADA |
First Name Of The Provider |
JORGE |
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 |
747 PONCE DE LEON BLVD |
Street Address 2 Of The Provider |
SUITE 605 |
City Of The Provider |
CORAL GABLES |
Zip Code Of The Provider |
331342049 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
7 |
Number Of Services |
931 |
Number Of Medicare Beneficiaries |
285 |
Total Submitted Charge Amount |
250110 |
Total Medicare Allowed Amount |
132020.78 |
Total Medicare Payment Amount |
102861.91 |
Total Medicare Standardized Payment Amount |
95475.85 |
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 |
7 |
Number Of Medical Services |
931 |
Number Of Medicare Beneficiaries With Medical Services |
285 |
Total Medical Submitted Charge Amount |
250110 |
Total Medical Medicare Allowed Amount |
132020.78 |
Total Medical Medicare Payment Amount |
102861.91 |
Total Medical Medicare Standardized Payment Amount |
95475.85 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
82 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
19 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
247 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
44 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
65 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
73 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
3.7935 |