National Provider Identifier [NPI]: |
1912149964 |
Last Name Of The Provider |
ALVAREZ-ROHENA |
First Name Of The Provider |
MARIALI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., M.P.H. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 ALTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIAMI BEACH |
Zip Code Of The Provider |
331393810 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
422 |
Number Of Medicare Beneficiaries |
46 |
Total Submitted Charge Amount |
31485.03 |
Total Medicare Allowed Amount |
13636.52 |
Total Medicare Payment Amount |
10041.22 |
Total Medicare Standardized Payment Amount |
9507.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
152 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1480 |
Total Drug Medicare AllowedAmount |
179.03 |
Total Drug Medicare PaymentAmount |
136.12 |
Total Drug Medicare Standardized Payment Amount |
136.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
270 |
Number Of Medicare Beneficiaries With Medical Services |
46 |
Total Medical Submitted Charge Amount |
30005.03 |
Total Medical Medicare Allowed Amount |
13457.49 |
Total Medical Medicare Payment Amount |
9905.1 |
Total Medical Medicare Standardized Payment Amount |
9371.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
20 |
Number Of Beneficiaries Age 75 to 84 |
11 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
29 |
Number Of Male Beneficiaries |
17 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
16 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.0565 |