National Provider Identifier [NPI]: |
1639165533 |
Last Name Of The Provider |
PARKER |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7000 SW 62ND AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SOUTH MIAMI |
Zip Code Of The Provider |
331434716 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3138 |
Number Of Medicare Beneficiaries |
874 |
Total Submitted Charge Amount |
762716 |
Total Medicare Allowed Amount |
288630.71 |
Total Medicare Payment Amount |
219090.19 |
Total Medicare Standardized Payment Amount |
204444.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
93 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
12852 |
Total Drug Medicare AllowedAmount |
6645.38 |
Total Drug Medicare PaymentAmount |
6512.39 |
Total Drug Medicare Standardized Payment Amount |
6512.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3045 |
Number Of Medicare Beneficiaries With Medical Services |
874 |
Total Medical Submitted Charge Amount |
749864 |
Total Medical Medicare Allowed Amount |
281985.33 |
Total Medical Medicare Payment Amount |
212577.8 |
Total Medical Medicare Standardized Payment Amount |
197931.76 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
255 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
495 |
Number Of Male Beneficiaries |
379 |
Number Of Non Hispanic White Beneficiaries |
484 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
343 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
300 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
61 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.4327 |