National Provider Identifier [NPI]: |
1699881672 |
Last Name Of The Provider |
HEIMAN |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5458 TOWN CENTER RD |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334861089 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
38557 |
Number Of Medicare Beneficiaries |
843 |
Total Submitted Charge Amount |
706025.57 |
Total Medicare Allowed Amount |
505332.64 |
Total Medicare Payment Amount |
394028.68 |
Total Medicare Standardized Payment Amount |
387613.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
33421 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
86560.88 |
Total Drug Medicare AllowedAmount |
44812.57 |
Total Drug Medicare PaymentAmount |
35132.49 |
Total Drug Medicare Standardized Payment Amount |
35132.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
10 |
Number Of Medical Services |
5136 |
Number Of Medicare Beneficiaries With Medical Services |
843 |
Total Medical Submitted Charge Amount |
619464.69 |
Total Medical Medicare Allowed Amount |
460520.07 |
Total Medical Medicare Payment Amount |
358896.19 |
Total Medical Medicare Standardized Payment Amount |
352481.29 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
304 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
400 |
Number Of Non Hispanic White Beneficiaries |
814 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.6784 |