National Provider Identifier [NPI]: |
1306939814 |
Last Name Of The Provider |
BUELLER |
First Name Of The Provider |
HOWARD |
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 |
5258 LINTON BLVD |
Street Address 2 Of The Provider |
SUITE 306 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
33484 |
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 |
92 |
Number Of Services |
9838 |
Number Of Medicare Beneficiaries |
1825 |
Total Submitted Charge Amount |
718709.2 |
Total Medicare Allowed Amount |
687983.44 |
Total Medicare Payment Amount |
508331.8 |
Total Medicare Standardized Payment Amount |
468403.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
189 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
562.1 |
Total Drug Medicare AllowedAmount |
387.18 |
Total Drug Medicare PaymentAmount |
250.81 |
Total Drug Medicare Standardized Payment Amount |
250.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
9649 |
Number Of Medicare Beneficiaries With Medical Services |
1825 |
Total Medical Submitted Charge Amount |
718147.1 |
Total Medical Medicare Allowed Amount |
687596.26 |
Total Medical Medicare Payment Amount |
508080.99 |
Total Medical Medicare Standardized Payment Amount |
468152.99 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
798 |
Number Of Beneficiaries Age Greater 84 |
586 |
Number Of Female Beneficiaries |
933 |
Number Of Male Beneficiaries |
892 |
Number Of Non Hispanic White Beneficiaries |
1797 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1803 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3188 |