National Provider Identifier [NPI]: |
1548363435 |
Last Name Of The Provider |
RAY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 FORUM WAY |
Street Address 2 Of The Provider |
#300 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
33401 |
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 |
40 |
Number Of Services |
6221 |
Number Of Medicare Beneficiaries |
2251 |
Total Submitted Charge Amount |
532031 |
Total Medicare Allowed Amount |
339541.83 |
Total Medicare Payment Amount |
252449.17 |
Total Medicare Standardized Payment Amount |
243823.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
8620 |
Total Drug Medicare AllowedAmount |
8258.73 |
Total Drug Medicare PaymentAmount |
6474.77 |
Total Drug Medicare Standardized Payment Amount |
6474.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
6065 |
Number Of Medicare Beneficiaries With Medical Services |
2251 |
Total Medical Submitted Charge Amount |
523411 |
Total Medical Medicare Allowed Amount |
331283.1 |
Total Medical Medicare Payment Amount |
245974.4 |
Total Medical Medicare Standardized Payment Amount |
237349.18 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
565 |
Number Of Beneficiaries Age 75 to 84 |
778 |
Number Of Beneficiaries Age Greater 84 |
717 |
Number Of Female Beneficiaries |
1125 |
Number Of Male Beneficiaries |
1126 |
Number Of Non Hispanic White Beneficiaries |
1899 |
Number Of Black or African American Beneficiaries |
184 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
123 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1841 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
410 |
Percent Of With Atrial Fibrillation |
41 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9581 |