National Provider Identifier [NPI]: |
1700957636 |
Last Name Of The Provider |
CARDENAS |
First Name Of The Provider |
JULIO |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1050 NW 15TH STREET |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
33486 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
298215 |
Number Of Medicare Beneficiaries |
956 |
Total Submitted Charge Amount |
1094620 |
Total Medicare Allowed Amount |
702309.13 |
Total Medicare Payment Amount |
547003.75 |
Total Medicare Standardized Payment Amount |
532568.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
292665 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
373990 |
Total Drug Medicare AllowedAmount |
220263.76 |
Total Drug Medicare PaymentAmount |
172438.06 |
Total Drug Medicare Standardized Payment Amount |
172438.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
5550 |
Number Of Medicare Beneficiaries With Medical Services |
956 |
Total Medical Submitted Charge Amount |
720630 |
Total Medical Medicare Allowed Amount |
482045.37 |
Total Medical Medicare Payment Amount |
374565.69 |
Total Medical Medicare Standardized Payment Amount |
360129.98 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
410 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
898 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
844 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
41 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.6505 |