National Provider Identifier [NPI]: |
1497727432 |
Last Name Of The Provider |
MILBAUER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7390 LAKE WORTH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE WORTH |
Zip Code Of The Provider |
334672529 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
17050 |
Number Of Medicare Beneficiaries |
1487 |
Total Submitted Charge Amount |
1144046.6 |
Total Medicare Allowed Amount |
875722.18 |
Total Medicare Payment Amount |
682671.06 |
Total Medicare Standardized Payment Amount |
656255.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
957 |
Number Of Medicare Beneficiaries With Drug Services |
662 |
Total Drug Submitted ChargeAmount |
33566.6 |
Total Drug Medicare AllowedAmount |
24644.87 |
Total Drug Medicare PaymentAmount |
23141.73 |
Total Drug Medicare Standardized Payment Amount |
23141.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
16093 |
Number Of Medicare Beneficiaries With Medical Services |
1487 |
Total Medical Submitted Charge Amount |
1110480 |
Total Medical Medicare Allowed Amount |
851077.31 |
Total Medical Medicare Payment Amount |
659529.33 |
Total Medical Medicare Standardized Payment Amount |
633114.12 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
580 |
Number Of Beneficiaries Age Greater 84 |
484 |
Number Of Female Beneficiaries |
871 |
Number Of Male Beneficiaries |
616 |
Number Of Non Hispanic White Beneficiaries |
1447 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1411 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2771 |