National Provider Identifier [NPI]: |
1093839656 |
Last Name Of The Provider |
CARP |
First Name Of The Provider |
NEVINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2623 S SEACREST BLVD |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334357501 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
3391 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
547409.5 |
Total Medicare Allowed Amount |
337691.56 |
Total Medicare Payment Amount |
258885.35 |
Total Medicare Standardized Payment Amount |
246773 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3391 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
547409.5 |
Total Medical Medicare Allowed Amount |
337691.56 |
Total Medical Medicare Payment Amount |
258885.35 |
Total Medical Medicare Standardized Payment Amount |
246773 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
756 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
713 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
32 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
59 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.17 |