National Provider Identifier [NPI]: |
1023095403 |
Last Name Of The Provider |
ABELLA |
First Name Of The Provider |
MANUEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8200 SW 117TH AVENUE |
Street Address 2 Of The Provider |
SUITE 414 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331833582 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2107 |
Number Of Medicare Beneficiaries |
306 |
Total Submitted Charge Amount |
866106 |
Total Medicare Allowed Amount |
525056.76 |
Total Medicare Payment Amount |
401543.15 |
Total Medicare Standardized Payment Amount |
373086.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
149.5 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
925 |
Total Drug Medicare AllowedAmount |
362.94 |
Total Drug Medicare PaymentAmount |
329.93 |
Total Drug Medicare Standardized Payment Amount |
329.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1957.5 |
Number Of Medicare Beneficiaries With Medical Services |
306 |
Total Medical Submitted Charge Amount |
865181 |
Total Medical Medicare Allowed Amount |
524693.82 |
Total Medical Medicare Payment Amount |
401213.22 |
Total Medical Medicare Standardized Payment Amount |
372756.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
272 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
75 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
231 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6522 |