National Provider Identifier [NPI]: |
1174868459 |
Last Name Of The Provider |
VERA |
First Name Of The Provider |
CLAUDIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 VILLAGE SQUARE XING |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALM BEACH GARDENS |
Zip Code Of The Provider |
334104543 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
5675 |
Number Of Medicare Beneficiaries |
943 |
Total Submitted Charge Amount |
821718 |
Total Medicare Allowed Amount |
373201.11 |
Total Medicare Payment Amount |
276406.65 |
Total Medicare Standardized Payment Amount |
323813.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
9440 |
Total Drug Medicare AllowedAmount |
7780.63 |
Total Drug Medicare PaymentAmount |
6053.38 |
Total Drug Medicare Standardized Payment Amount |
6053.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
5592 |
Number Of Medicare Beneficiaries With Medical Services |
943 |
Total Medical Submitted Charge Amount |
812278 |
Total Medical Medicare Allowed Amount |
365420.48 |
Total Medical Medicare Payment Amount |
270353.27 |
Total Medical Medicare Standardized Payment Amount |
317760.23 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
453 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
528 |
Number Of Male Beneficiaries |
415 |
Number Of Non Hispanic White Beneficiaries |
888 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
834 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0887 |