National Provider Identifier [NPI]: |
1457397580 |
Last Name Of The Provider |
RUBENSTEIN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 NW 9TH CT |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862268 |
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 |
51 |
Number Of Services |
14047 |
Number Of Medicare Beneficiaries |
2196 |
Total Submitted Charge Amount |
1307516.98 |
Total Medicare Allowed Amount |
1176997.18 |
Total Medicare Payment Amount |
898195.45 |
Total Medicare Standardized Payment Amount |
840418.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
786 |
Number Of Medicare Beneficiaries With Drug Services |
197 |
Total Drug Submitted ChargeAmount |
58950 |
Total Drug Medicare AllowedAmount |
41626.77 |
Total Drug Medicare PaymentAmount |
32635.06 |
Total Drug Medicare Standardized Payment Amount |
32635.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
13261 |
Number Of Medicare Beneficiaries With Medical Services |
2196 |
Total Medical Submitted Charge Amount |
1248566.98 |
Total Medical Medicare Allowed Amount |
1135370.41 |
Total Medical Medicare Payment Amount |
865560.39 |
Total Medical Medicare Standardized Payment Amount |
807783.82 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
618 |
Number Of Beneficiaries Age 75 to 84 |
853 |
Number Of Beneficiaries Age Greater 84 |
708 |
Number Of Female Beneficiaries |
1050 |
Number Of Male Beneficiaries |
1146 |
Number Of Non Hispanic White Beneficiaries |
2151 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5756 |