National Provider Identifier [NPI]: |
1336196104 |
Last Name Of The Provider |
SHAIR |
First Name Of The Provider |
BERNARD |
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 |
1150 N 35TH AVE |
Street Address 2 Of The Provider |
SUITE 605 |
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
330215424 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
4678 |
Number Of Medicare Beneficiaries |
873 |
Total Submitted Charge Amount |
449931.38 |
Total Medicare Allowed Amount |
205329.21 |
Total Medicare Payment Amount |
161064.71 |
Total Medicare Standardized Payment Amount |
157039.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
14175 |
Total Drug Medicare AllowedAmount |
5042.05 |
Total Drug Medicare PaymentAmount |
4024.03 |
Total Drug Medicare Standardized Payment Amount |
4024.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
4563 |
Number Of Medicare Beneficiaries With Medical Services |
873 |
Total Medical Submitted Charge Amount |
435756.38 |
Total Medical Medicare Allowed Amount |
200287.16 |
Total Medical Medicare Payment Amount |
157040.68 |
Total Medical Medicare Standardized Payment Amount |
153015.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
165 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
581 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.4372 |