National Provider Identifier [NPI]: |
1801977509 |
Last Name Of The Provider |
BARON |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9980 CENTRAL PARK BLVD |
Street Address 2 Of The Provider |
#322 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
33428 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
7071 |
Number Of Medicare Beneficiaries |
1514 |
Total Submitted Charge Amount |
824205 |
Total Medicare Allowed Amount |
743761.31 |
Total Medicare Payment Amount |
573395.08 |
Total Medicare Standardized Payment Amount |
547038.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
257.4 |
Total Drug Medicare PaymentAmount |
252.3 |
Total Drug Medicare Standardized Payment Amount |
252.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
7041 |
Number Of Medicare Beneficiaries With Medical Services |
1514 |
Total Medical Submitted Charge Amount |
823605 |
Total Medical Medicare Allowed Amount |
743503.91 |
Total Medical Medicare Payment Amount |
573142.78 |
Total Medical Medicare Standardized Payment Amount |
546786.43 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
636 |
Number Of Beneficiaries Age Greater 84 |
577 |
Number Of Female Beneficiaries |
840 |
Number Of Male Beneficiaries |
674 |
Number Of Non Hispanic White Beneficiaries |
1458 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
29 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0532 |