National Provider Identifier [NPI]: |
1134126014 |
Last Name Of The Provider |
REGENBAUM |
First Name Of The Provider |
SHELDON |
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 |
1500 N DIXIE HWY |
Street Address 2 Of The Provider |
STE 103 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334012715 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2720 |
Number Of Medicare Beneficiaries |
506 |
Total Submitted Charge Amount |
955196 |
Total Medicare Allowed Amount |
209047.99 |
Total Medicare Payment Amount |
154817.36 |
Total Medicare Standardized Payment Amount |
146559.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
442 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
6585 |
Total Drug Medicare AllowedAmount |
2293.03 |
Total Drug Medicare PaymentAmount |
1797.72 |
Total Drug Medicare Standardized Payment Amount |
1797.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2278 |
Number Of Medicare Beneficiaries With Medical Services |
506 |
Total Medical Submitted Charge Amount |
948611 |
Total Medical Medicare Allowed Amount |
206754.96 |
Total Medical Medicare Payment Amount |
153019.64 |
Total Medical Medicare Standardized Payment Amount |
144761.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
428 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3364 |