National Provider Identifier [NPI]: |
1972723294 |
Last Name Of The Provider |
ALOUPIS |
First Name Of The Provider |
KRISTEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 S. ANDREWS AVE. |
Street Address 2 Of The Provider |
ACADEMIC AFFAIRS, BROWARD GENERAL MEDICAL CENTER |
City Of The Provider |
FT. LAUDERDALE |
Zip Code Of The Provider |
33316 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
4458 |
Number Of Medicare Beneficiaries |
844 |
Total Submitted Charge Amount |
525018 |
Total Medicare Allowed Amount |
328157.36 |
Total Medicare Payment Amount |
238405.09 |
Total Medicare Standardized Payment Amount |
224515.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
163 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
37558 |
Total Drug Medicare AllowedAmount |
34235.94 |
Total Drug Medicare PaymentAmount |
26248.06 |
Total Drug Medicare Standardized Payment Amount |
26248.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
4295 |
Number Of Medicare Beneficiaries With Medical Services |
844 |
Total Medical Submitted Charge Amount |
487460 |
Total Medical Medicare Allowed Amount |
293921.42 |
Total Medical Medicare Payment Amount |
212157.03 |
Total Medical Medicare Standardized Payment Amount |
198267.79 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
508 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
821 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
831 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9766 |