National Provider Identifier [NPI]: |
1780749481 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5162 LINTON BLVD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334846567 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
55182 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
1477629 |
Total Medicare Allowed Amount |
862938.95 |
Total Medicare Payment Amount |
664947.34 |
Total Medicare Standardized Payment Amount |
652193.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
8953 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
402675 |
Total Drug Medicare AllowedAmount |
238741.85 |
Total Drug Medicare PaymentAmount |
187172.99 |
Total Drug Medicare Standardized Payment Amount |
187172.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
46229 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
1074954 |
Total Medical Medicare Allowed Amount |
624197.1 |
Total Medical Medicare Payment Amount |
477774.35 |
Total Medical Medicare Standardized Payment Amount |
465020.27 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
828 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
851 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2339 |