National Provider Identifier [NPI]: |
1982611398 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
EDUARDO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3450 LANTANA RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAKE WORTH |
Zip Code Of The Provider |
334621329 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
147201 |
Number Of Medicare Beneficiaries |
569 |
Total Submitted Charge Amount |
2985904.16 |
Total Medicare Allowed Amount |
1625939.29 |
Total Medicare Payment Amount |
1282361.05 |
Total Medicare Standardized Payment Amount |
1269733.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
132289 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
2067718.46 |
Total Drug Medicare AllowedAmount |
1152013.4 |
Total Drug Medicare PaymentAmount |
899403.01 |
Total Drug Medicare Standardized Payment Amount |
899403.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
14912 |
Number Of Medicare Beneficiaries With Medical Services |
569 |
Total Medical Submitted Charge Amount |
918185.7 |
Total Medical Medicare Allowed Amount |
473925.89 |
Total Medical Medicare Payment Amount |
382958.04 |
Total Medical Medicare Standardized Payment Amount |
370330.71 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
429 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
429 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2438 |