National Provider Identifier [NPI]: |
1235109521 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1905 CLINT MOORE RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334962658 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
12070 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
653689 |
Total Medicare Allowed Amount |
348301.02 |
Total Medicare Payment Amount |
286168.39 |
Total Medicare Standardized Payment Amount |
279165.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
563 |
Number Of Medicare Beneficiaries With Drug Services |
310 |
Total Drug Submitted ChargeAmount |
33940 |
Total Drug Medicare AllowedAmount |
23000.64 |
Total Drug Medicare PaymentAmount |
22260.52 |
Total Drug Medicare Standardized Payment Amount |
22260.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
11507 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
619749 |
Total Medical Medicare Allowed Amount |
325300.38 |
Total Medical Medicare Payment Amount |
263907.87 |
Total Medical Medicare Standardized Payment Amount |
256905.31 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4878 |