National Provider Identifier [NPI]: |
1073764718 |
Last Name Of The Provider |
HELLER |
First Name Of The Provider |
ERIC |
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 |
8188 S JOG RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334722952 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
9274 |
Number Of Medicare Beneficiaries |
1604 |
Total Submitted Charge Amount |
1528277.84 |
Total Medicare Allowed Amount |
1091829.54 |
Total Medicare Payment Amount |
833920.81 |
Total Medicare Standardized Payment Amount |
798619.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1036 |
Number Of Medicare Beneficiaries With Drug Services |
259 |
Total Drug Submitted ChargeAmount |
64363.32 |
Total Drug Medicare AllowedAmount |
54867.31 |
Total Drug Medicare PaymentAmount |
43015.44 |
Total Drug Medicare Standardized Payment Amount |
43015.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
8238 |
Number Of Medicare Beneficiaries With Medical Services |
1603 |
Total Medical Submitted Charge Amount |
1463914.52 |
Total Medical Medicare Allowed Amount |
1036962.23 |
Total Medical Medicare Payment Amount |
790905.37 |
Total Medical Medicare Standardized Payment Amount |
755604.17 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
429 |
Number Of Beneficiaries Age 75 to 84 |
628 |
Number Of Beneficiaries Age Greater 84 |
523 |
Number Of Female Beneficiaries |
779 |
Number Of Male Beneficiaries |
825 |
Number Of Non Hispanic White Beneficiaries |
1551 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1553 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
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 |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7245 |