National Provider Identifier [NPI]: |
1972793354 |
Last Name Of The Provider |
ALMONTE |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3161 SW 160TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIRAMAR |
Zip Code Of The Provider |
330274214 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
1017 |
Number Of Medicare Beneficiaries |
189 |
Total Submitted Charge Amount |
189465 |
Total Medicare Allowed Amount |
80095.13 |
Total Medicare Payment Amount |
67567.02 |
Total Medicare Standardized Payment Amount |
64579.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
780 |
Total Drug Medicare AllowedAmount |
17.28 |
Total Drug Medicare PaymentAmount |
13.55 |
Total Drug Medicare Standardized Payment Amount |
13.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
965 |
Number Of Medicare Beneficiaries With Medical Services |
189 |
Total Medical Submitted Charge Amount |
188685 |
Total Medical Medicare Allowed Amount |
80077.85 |
Total Medical Medicare Payment Amount |
67553.47 |
Total Medical Medicare Standardized Payment Amount |
64565.62 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
176 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
65 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5398 |