National Provider Identifier [NPI]: |
1851450530 |
Last Name Of The Provider |
MCKENZIE |
First Name Of The Provider |
RONA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1625 SOUTH EAST THIRD AVENUE |
Street Address 2 Of The Provider |
400 |
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
33316 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
3117 |
Number Of Medicare Beneficiaries |
565 |
Total Submitted Charge Amount |
474895.03 |
Total Medicare Allowed Amount |
342586.36 |
Total Medicare Payment Amount |
264213.72 |
Total Medicare Standardized Payment Amount |
254114.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1275 |
Total Drug Medicare AllowedAmount |
101.93 |
Total Drug Medicare PaymentAmount |
79.93 |
Total Drug Medicare Standardized Payment Amount |
79.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3063 |
Number Of Medicare Beneficiaries With Medical Services |
565 |
Total Medical Submitted Charge Amount |
473620.03 |
Total Medical Medicare Allowed Amount |
342484.43 |
Total Medical Medicare Payment Amount |
264133.79 |
Total Medical Medicare Standardized Payment Amount |
254034.62 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
260 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
294 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.3694 |