National Provider Identifier [NPI]: |
1982785689 |
Last Name Of The Provider |
ADELMAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
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 |
4134 |
Number Of Medicare Beneficiaries |
971 |
Total Submitted Charge Amount |
601580 |
Total Medicare Allowed Amount |
530365.42 |
Total Medicare Payment Amount |
406023.47 |
Total Medicare Standardized Payment Amount |
387005.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1670 |
Total Drug Medicare AllowedAmount |
370.34 |
Total Drug Medicare PaymentAmount |
336.08 |
Total Drug Medicare Standardized Payment Amount |
336.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
4068 |
Number Of Medicare Beneficiaries With Medical Services |
971 |
Total Medical Submitted Charge Amount |
599910 |
Total Medical Medicare Allowed Amount |
529995.08 |
Total Medical Medicare Payment Amount |
405687.39 |
Total Medical Medicare Standardized Payment Amount |
386669.18 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
341 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
423 |
Number Of Non Hispanic White Beneficiaries |
913 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
858 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
33 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1338 |