National Provider Identifier [NPI]: |
1518956341 |
Last Name Of The Provider |
RONDINO |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 W SAMPLE RD |
Street Address 2 Of The Provider |
STE 204 |
City Of The Provider |
POMPANO BEACH |
Zip Code Of The Provider |
330643547 |
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 |
5256 |
Number Of Medicare Beneficiaries |
1523 |
Total Submitted Charge Amount |
415551.91 |
Total Medicare Allowed Amount |
303313.33 |
Total Medicare Payment Amount |
226878.45 |
Total Medicare Standardized Payment Amount |
217927.16 |
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 |
5256 |
Number Of Medicare Beneficiaries With Medical Services |
1523 |
Total Medical Submitted Charge Amount |
415551.91 |
Total Medical Medicare Allowed Amount |
303313.33 |
Total Medical Medicare Payment Amount |
226878.45 |
Total Medical Medicare Standardized Payment Amount |
217927.16 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
437 |
Number Of Beneficiaries Age 75 to 84 |
439 |
Number Of Beneficiaries Age Greater 84 |
463 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
752 |
Number Of Non Hispanic White Beneficiaries |
1189 |
Number Of Black or African American Beneficiaries |
203 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
395 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1355 |