National Provider Identifier [NPI]: |
1932280492 |
Last Name Of The Provider |
GRNJA |
First Name Of The Provider |
VLADIMIR |
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 |
210 S FEDERAL HWY STE 403 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
330206811 |
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 |
156 |
Number Of Services |
14796 |
Number Of Medicare Beneficiaries |
1849 |
Total Submitted Charge Amount |
1060282.24 |
Total Medicare Allowed Amount |
403671 |
Total Medicare Payment Amount |
317784.34 |
Total Medicare Standardized Payment Amount |
310379.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11736 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
36797 |
Total Drug Medicare AllowedAmount |
13388.18 |
Total Drug Medicare PaymentAmount |
10300.95 |
Total Drug Medicare Standardized Payment Amount |
10300.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
3060 |
Number Of Medicare Beneficiaries With Medical Services |
1844 |
Total Medical Submitted Charge Amount |
1023485.24 |
Total Medical Medicare Allowed Amount |
390282.82 |
Total Medical Medicare Payment Amount |
307483.39 |
Total Medical Medicare Standardized Payment Amount |
300078.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
281 |
Number Of Beneficiaries Age 65 to 74 |
871 |
Number Of Beneficiaries Age 75 to 84 |
485 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
1313 |
Number Of Male Beneficiaries |
536 |
Number Of Non Hispanic White Beneficiaries |
942 |
Number Of Black or African American Beneficiaries |
294 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
527 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
1097 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
752 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2853 |