National Provider Identifier [NPI]: |
1023052990 |
Last Name Of The Provider |
CORTINAS |
First Name Of The Provider |
TERESA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5405 OKEECHOBEE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334174543 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
9922 |
Number Of Medicare Beneficiaries |
1466 |
Total Submitted Charge Amount |
1236510.03 |
Total Medicare Allowed Amount |
301344.72 |
Total Medicare Payment Amount |
235333.27 |
Total Medicare Standardized Payment Amount |
226033.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7674 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
8781.03 |
Total Drug Medicare AllowedAmount |
2529.48 |
Total Drug Medicare PaymentAmount |
1945.48 |
Total Drug Medicare Standardized Payment Amount |
1945.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
2248 |
Number Of Medicare Beneficiaries With Medical Services |
1466 |
Total Medical Submitted Charge Amount |
1227729 |
Total Medical Medicare Allowed Amount |
298815.24 |
Total Medical Medicare Payment Amount |
233387.79 |
Total Medical Medicare Standardized Payment Amount |
224088.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
678 |
Number Of Beneficiaries Age 75 to 84 |
552 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
977 |
Number Of Male Beneficiaries |
489 |
Number Of Non Hispanic White Beneficiaries |
1368 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0964 |