National Provider Identifier [NPI]: |
1912950429 |
Last Name Of The Provider |
THE |
First Name Of The Provider |
JULIETTE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
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 |
93 |
Number Of Services |
9852 |
Number Of Medicare Beneficiaries |
3749 |
Total Submitted Charge Amount |
806034.5 |
Total Medicare Allowed Amount |
377850.9 |
Total Medicare Payment Amount |
324274.2 |
Total Medicare Standardized Payment Amount |
309703.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2407 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
3231.5 |
Total Drug Medicare AllowedAmount |
1567.96 |
Total Drug Medicare PaymentAmount |
1229.28 |
Total Drug Medicare Standardized Payment Amount |
1229.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
7445 |
Number Of Medicare Beneficiaries With Medical Services |
3749 |
Total Medical Submitted Charge Amount |
802803 |
Total Medical Medicare Allowed Amount |
376282.94 |
Total Medical Medicare Payment Amount |
323044.92 |
Total Medical Medicare Standardized Payment Amount |
308474.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
1702 |
Number Of Beneficiaries Age 75 to 84 |
1346 |
Number Of Beneficiaries Age Greater 84 |
584 |
Number Of Female Beneficiaries |
3467 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
3549 |
Number Of Black or African American Beneficiaries |
55 |
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 |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
3612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0858 |