National Provider Identifier [NPI]: |
1780802595 |
Last Name Of The Provider |
FEINSTEIN |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4205 W ATLANTIC AVE |
Street Address 2 Of The Provider |
SUITE B201 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334453901 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
21246 |
Number Of Medicare Beneficiaries |
1139 |
Total Submitted Charge Amount |
3780063.4 |
Total Medicare Allowed Amount |
2027597.62 |
Total Medicare Payment Amount |
1568463.54 |
Total Medicare Standardized Payment Amount |
1300812.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1039 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
49230.6 |
Total Drug Medicare AllowedAmount |
43488.19 |
Total Drug Medicare PaymentAmount |
33817.03 |
Total Drug Medicare Standardized Payment Amount |
33817.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
20207 |
Number Of Medicare Beneficiaries With Medical Services |
1139 |
Total Medical Submitted Charge Amount |
3730832.8 |
Total Medical Medicare Allowed Amount |
1984109.43 |
Total Medical Medicare Payment Amount |
1534646.51 |
Total Medical Medicare Standardized Payment Amount |
1266995.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
499 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
647 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
1098 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1105 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.188 |