National Provider Identifier [NPI]: |
1992772479 |
Last Name Of The Provider |
POLLAK |
First Name Of The Provider |
YALE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 MEADOWS RD |
Street Address 2 Of The Provider |
DEPT RADIOLOGY |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862304 |
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 |
207 |
Number Of Services |
15725 |
Number Of Medicare Beneficiaries |
6235 |
Total Submitted Charge Amount |
1338621.3 |
Total Medicare Allowed Amount |
547837.02 |
Total Medicare Payment Amount |
421580.59 |
Total Medicare Standardized Payment Amount |
410472.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4208 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
4589.3 |
Total Drug Medicare AllowedAmount |
2209.23 |
Total Drug Medicare PaymentAmount |
1708.3 |
Total Drug Medicare Standardized Payment Amount |
1708.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
205 |
Number Of Medical Services |
11517 |
Number Of Medicare Beneficiaries With Medical Services |
6233 |
Total Medical Submitted Charge Amount |
1334032 |
Total Medical Medicare Allowed Amount |
545627.79 |
Total Medical Medicare Payment Amount |
419872.29 |
Total Medical Medicare Standardized Payment Amount |
408764 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
253 |
Number Of Beneficiaries Age 65 to 74 |
1509 |
Number Of Beneficiaries Age 75 to 84 |
2188 |
Number Of Beneficiaries Age Greater 84 |
2285 |
Number Of Female Beneficiaries |
3498 |
Number Of Male Beneficiaries |
2737 |
Number Of Non Hispanic White Beneficiaries |
5895 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
163 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
69 |
Number Of Beneficiaries With Medicare Only Entitlement |
5767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
468 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9233 |