National Provider Identifier [NPI]: |
1871577700 |
Last Name Of The Provider |
STRASSWIMMER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2605 W. ATLANTIC AVE |
Street Address 2 Of The Provider |
D204 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
33445 |
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 |
75 |
Number Of Services |
4179 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
2866247 |
Total Medicare Allowed Amount |
1157805.32 |
Total Medicare Payment Amount |
891208.41 |
Total Medicare Standardized Payment Amount |
793680.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
3315 |
Total Drug Medicare AllowedAmount |
2219.26 |
Total Drug Medicare PaymentAmount |
1718.54 |
Total Drug Medicare Standardized Payment Amount |
1718.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
4134 |
Number Of Medicare Beneficiaries With Medical Services |
778 |
Total Medical Submitted Charge Amount |
2862932 |
Total Medical Medicare Allowed Amount |
1155586.06 |
Total Medical Medicare Payment Amount |
889489.87 |
Total Medical Medicare Standardized Payment Amount |
791962.05 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
756 |
Number Of Black or African American Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3515 |