National Provider Identifier [NPI]: |
1902882699 |
Last Name Of The Provider |
SOKOLOFF |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4475 MEDICAL CENTER WAY |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334073240 |
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 |
56 |
Number Of Services |
18496 |
Number Of Medicare Beneficiaries |
1635 |
Total Submitted Charge Amount |
884159.91 |
Total Medicare Allowed Amount |
745197.05 |
Total Medicare Payment Amount |
552239.98 |
Total Medicare Standardized Payment Amount |
519160.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
514 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
5742.93 |
Total Drug Medicare AllowedAmount |
4966.68 |
Total Drug Medicare PaymentAmount |
3837.53 |
Total Drug Medicare Standardized Payment Amount |
3837.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
17982 |
Number Of Medicare Beneficiaries With Medical Services |
1635 |
Total Medical Submitted Charge Amount |
878416.98 |
Total Medical Medicare Allowed Amount |
740230.37 |
Total Medical Medicare Payment Amount |
548402.45 |
Total Medical Medicare Standardized Payment Amount |
515322.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
658 |
Number Of Beneficiaries Age 75 to 84 |
571 |
Number Of Beneficiaries Age Greater 84 |
389 |
Number Of Female Beneficiaries |
871 |
Number Of Male Beneficiaries |
764 |
Number Of Non Hispanic White Beneficiaries |
1573 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1610 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0311 |