National Provider Identifier [NPI]: |
1154390201 |
Last Name Of The Provider |
GUZMAN |
First Name Of The Provider |
PABLO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4725 N FEDERAL HWY |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
33308 |
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 |
36 |
Number Of Services |
3212 |
Number Of Medicare Beneficiaries |
1012 |
Total Submitted Charge Amount |
198804.49 |
Total Medicare Allowed Amount |
151382.2 |
Total Medicare Payment Amount |
107679.72 |
Total Medicare Standardized Payment Amount |
102855.9 |
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 |
36 |
Number Of Medical Services |
3212 |
Number Of Medicare Beneficiaries With Medical Services |
1012 |
Total Medical Submitted Charge Amount |
198804.49 |
Total Medical Medicare Allowed Amount |
151382.2 |
Total Medical Medicare Payment Amount |
107679.72 |
Total Medical Medicare Standardized Payment Amount |
102855.9 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
289 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
518 |
Number Of Non Hispanic White Beneficiaries |
868 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
860 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8983 |