National Provider Identifier [NPI]: |
1841380227 |
Last Name Of The Provider |
MORETTI |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1777 S ANDREWS AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
FT LAUDERDALE |
Zip Code Of The Provider |
333162517 |
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 |
19 |
Number Of Services |
1372 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
257337.37 |
Total Medicare Allowed Amount |
126631.34 |
Total Medicare Payment Amount |
90827.84 |
Total Medicare Standardized Payment Amount |
88454.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1097 |
Total Drug Medicare AllowedAmount |
551.19 |
Total Drug Medicare PaymentAmount |
540.15 |
Total Drug Medicare Standardized Payment Amount |
540.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1350 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
256240.37 |
Total Medical Medicare Allowed Amount |
126080.15 |
Total Medical Medicare Payment Amount |
90287.69 |
Total Medical Medicare Standardized Payment Amount |
87914.78 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
225 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5966 |