National Provider Identifier [NPI]: |
1518904382 |
Last Name Of The Provider |
SANZOBRINO |
First Name Of The Provider |
BRENDA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1779 N UNIVERSITY DR |
Street Address 2 Of The Provider |
204 |
City Of The Provider |
PEMBROKE PINES |
Zip Code Of The Provider |
330240929 |
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 |
39 |
Number Of Services |
3293 |
Number Of Medicare Beneficiaries |
817 |
Total Submitted Charge Amount |
485255.7 |
Total Medicare Allowed Amount |
256040.45 |
Total Medicare Payment Amount |
191969.28 |
Total Medicare Standardized Payment Amount |
180262.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
104 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
12480 |
Total Drug Medicare AllowedAmount |
5504.62 |
Total Drug Medicare PaymentAmount |
4315.58 |
Total Drug Medicare Standardized Payment Amount |
4315.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3189 |
Number Of Medicare Beneficiaries With Medical Services |
817 |
Total Medical Submitted Charge Amount |
472775.7 |
Total Medical Medicare Allowed Amount |
250535.83 |
Total Medical Medicare Payment Amount |
187653.7 |
Total Medical Medicare Standardized Payment Amount |
175947.19 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
440 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
480 |
Number Of Black or African American Beneficiaries |
155 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
137 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.3936 |