National Provider Identifier [NPI]: |
1609855683 |
Last Name Of The Provider |
ZACHARIAH |
First Name Of The Provider |
MOLLY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4725 N FEDERAL HWY |
Street Address 2 Of The Provider |
SUITE 501 |
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
333084603 |
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 |
31 |
Number Of Services |
7027.8 |
Number Of Medicare Beneficiaries |
1102 |
Total Submitted Charge Amount |
1419766.5 |
Total Medicare Allowed Amount |
552071.04 |
Total Medicare Payment Amount |
418191.8 |
Total Medicare Standardized Payment Amount |
405843.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2332.8 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
49439.5 |
Total Drug Medicare AllowedAmount |
26793.73 |
Total Drug Medicare PaymentAmount |
20873.62 |
Total Drug Medicare Standardized Payment Amount |
20873.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
4695 |
Number Of Medicare Beneficiaries With Medical Services |
1102 |
Total Medical Submitted Charge Amount |
1370327 |
Total Medical Medicare Allowed Amount |
525277.31 |
Total Medical Medicare Payment Amount |
397318.18 |
Total Medical Medicare Standardized Payment Amount |
384969.5 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
323 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
323 |
Number Of Female Beneficiaries |
588 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
979 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1000 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.589 |