National Provider Identifier [NPI]: |
1619130291 |
Last Name Of The Provider |
VIVAS |
First Name Of The Provider |
YOEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2150 LAKE IDA RD |
Street Address 2 Of The Provider |
SUITE 7 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334452443 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
3153 |
Number Of Medicare Beneficiaries |
1216 |
Total Submitted Charge Amount |
713362.56 |
Total Medicare Allowed Amount |
381669.96 |
Total Medicare Payment Amount |
297647.99 |
Total Medicare Standardized Payment Amount |
277908.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
3153 |
Number Of Medicare Beneficiaries With Medical Services |
1216 |
Total Medical Submitted Charge Amount |
713362.56 |
Total Medical Medicare Allowed Amount |
381669.96 |
Total Medical Medicare Payment Amount |
297647.99 |
Total Medical Medicare Standardized Payment Amount |
277908.77 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
439 |
Number Of Beneficiaries Age Greater 84 |
463 |
Number Of Female Beneficiaries |
622 |
Number Of Male Beneficiaries |
594 |
Number Of Non Hispanic White Beneficiaries |
1094 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1027 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
47 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0729 |