National Provider Identifier [NPI]: |
1760455646 |
Last Name Of The Provider |
ZWECKER |
First Name Of The Provider |
WARREN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4495 MILITARY TRL |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334584839 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
9631 |
Number Of Medicare Beneficiaries |
1832 |
Total Submitted Charge Amount |
598460 |
Total Medicare Allowed Amount |
445596.73 |
Total Medicare Payment Amount |
301246.51 |
Total Medicare Standardized Payment Amount |
279250.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
945 |
Total Drug Medicare AllowedAmount |
624.8 |
Total Drug Medicare PaymentAmount |
482.74 |
Total Drug Medicare Standardized Payment Amount |
482.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
9589 |
Number Of Medicare Beneficiaries With Medical Services |
1832 |
Total Medical Submitted Charge Amount |
597515 |
Total Medical Medicare Allowed Amount |
444971.93 |
Total Medical Medicare Payment Amount |
300763.77 |
Total Medical Medicare Standardized Payment Amount |
278767.52 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
718 |
Number Of Beneficiaries Age 75 to 84 |
757 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
897 |
Number Of Male Beneficiaries |
935 |
Number Of Non Hispanic White Beneficiaries |
1778 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0046 |