National Provider Identifier [NPI]: |
1750343703 |
Last Name Of The Provider |
GRAEF |
First Name Of The Provider |
LORIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1050 NW 15TH ST |
Street Address 2 Of The Provider |
SUITE 216-A |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334861375 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
46301 |
Number Of Medicare Beneficiaries |
1280 |
Total Submitted Charge Amount |
1148750 |
Total Medicare Allowed Amount |
852179.84 |
Total Medicare Payment Amount |
653146.01 |
Total Medicare Standardized Payment Amount |
621054.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
41426 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
246160 |
Total Drug Medicare AllowedAmount |
224816.38 |
Total Drug Medicare PaymentAmount |
176243.35 |
Total Drug Medicare Standardized Payment Amount |
176243.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
4875 |
Number Of Medicare Beneficiaries With Medical Services |
1280 |
Total Medical Submitted Charge Amount |
902590 |
Total Medical Medicare Allowed Amount |
627363.46 |
Total Medical Medicare Payment Amount |
476902.66 |
Total Medical Medicare Standardized Payment Amount |
444811.56 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
596 |
Number Of Beneficiaries Age Greater 84 |
381 |
Number Of Female Beneficiaries |
728 |
Number Of Male Beneficiaries |
552 |
Number Of Non Hispanic White Beneficiaries |
1250 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.5154 |