National Provider Identifier [NPI]: |
1104929181 |
Last Name Of The Provider |
CHAIT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 FORUM WAY |
Street Address 2 Of The Provider |
#300 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
33401 |
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 |
51 |
Number Of Services |
3534 |
Number Of Medicare Beneficiaries |
755 |
Total Submitted Charge Amount |
243027 |
Total Medicare Allowed Amount |
162002.55 |
Total Medicare Payment Amount |
119804.79 |
Total Medicare Standardized Payment Amount |
116495.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
374 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
20530 |
Total Drug Medicare AllowedAmount |
19541.19 |
Total Drug Medicare PaymentAmount |
14890.06 |
Total Drug Medicare Standardized Payment Amount |
14890.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3160 |
Number Of Medicare Beneficiaries With Medical Services |
755 |
Total Medical Submitted Charge Amount |
222497 |
Total Medical Medicare Allowed Amount |
142461.36 |
Total Medical Medicare Payment Amount |
104914.73 |
Total Medical Medicare Standardized Payment Amount |
101605.28 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
426 |
Number Of Non Hispanic White Beneficiaries |
681 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
698 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
51 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6295 |