National Provider Identifier [NPI]: |
1376727321 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8142 GLADES RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334344064 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
63379 |
Number Of Medicare Beneficiaries |
892 |
Total Submitted Charge Amount |
590997.08 |
Total Medicare Allowed Amount |
275048.6 |
Total Medicare Payment Amount |
208543.13 |
Total Medicare Standardized Payment Amount |
201689.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
62463 |
Number Of Medicare Beneficiaries With Drug Services |
540 |
Total Drug Submitted ChargeAmount |
21238.08 |
Total Drug Medicare AllowedAmount |
11938.98 |
Total Drug Medicare PaymentAmount |
9304.1 |
Total Drug Medicare Standardized Payment Amount |
9304.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
4 |
Number Of Medical Services |
916 |
Number Of Medicare Beneficiaries With Medical Services |
879 |
Total Medical Submitted Charge Amount |
569759 |
Total Medical Medicare Allowed Amount |
263109.62 |
Total Medical Medicare Payment Amount |
199239.03 |
Total Medical Medicare Standardized Payment Amount |
192385.74 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
442 |
Number Of Male Beneficiaries |
450 |
Number Of Non Hispanic White Beneficiaries |
809 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.1621 |