National Provider Identifier [NPI]: |
1477709632 |
Last Name Of The Provider |
FURMAN |
First Name Of The Provider |
ALEXANDRE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
311 NOLAND DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRANDON |
Zip Code Of The Provider |
335115719 |
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 |
54 |
Number Of Services |
3898 |
Number Of Medicare Beneficiaries |
707 |
Total Submitted Charge Amount |
706402.1 |
Total Medicare Allowed Amount |
413219.02 |
Total Medicare Payment Amount |
317765 |
Total Medicare Standardized Payment Amount |
323852.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
688 |
Total Drug Medicare AllowedAmount |
481.77 |
Total Drug Medicare PaymentAmount |
471.5 |
Total Drug Medicare Standardized Payment Amount |
471.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3881 |
Number Of Medicare Beneficiaries With Medical Services |
707 |
Total Medical Submitted Charge Amount |
705714.1 |
Total Medical Medicare Allowed Amount |
412737.25 |
Total Medical Medicare Payment Amount |
317293.5 |
Total Medical Medicare Standardized Payment Amount |
323381.02 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
88 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
418 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
289 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
67 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.8542 |