National Provider Identifier [NPI]: |
1669572400 |
Last Name Of The Provider |
COHEN |
First Name Of The Provider |
MITCHELL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D.,F.A.C.C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3700 WASHINGTON ST |
Street Address 2 Of The Provider |
#500 |
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
330218256 |
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 |
97 |
Number Of Services |
2687.8 |
Number Of Medicare Beneficiaries |
824 |
Total Submitted Charge Amount |
672349.75 |
Total Medicare Allowed Amount |
258616.69 |
Total Medicare Payment Amount |
196395.9 |
Total Medicare Standardized Payment Amount |
190978.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
400.8 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
6182.4 |
Total Drug Medicare AllowedAmount |
2329.64 |
Total Drug Medicare PaymentAmount |
1826.41 |
Total Drug Medicare Standardized Payment Amount |
1826.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
2287 |
Number Of Medicare Beneficiaries With Medical Services |
824 |
Total Medical Submitted Charge Amount |
666167.35 |
Total Medical Medicare Allowed Amount |
256287.05 |
Total Medical Medicare Payment Amount |
194569.49 |
Total Medical Medicare Standardized Payment Amount |
189151.99 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
225 |
Number Of Female Beneficiaries |
462 |
Number Of Male Beneficiaries |
362 |
Number Of Non Hispanic White Beneficiaries |
442 |
Number Of Black or African American Beneficiaries |
147 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
207 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
490 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.5142 |