National Provider Identifier [NPI]: |
1841231818 |
Last Name Of The Provider |
HARRIS |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
50 EAST SAMPLE ROAD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
POMPANO BEACH |
Zip Code Of The Provider |
330643550 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
2366 |
Number Of Medicare Beneficiaries |
1119 |
Total Submitted Charge Amount |
657425 |
Total Medicare Allowed Amount |
262919.88 |
Total Medicare Payment Amount |
202275.9 |
Total Medicare Standardized Payment Amount |
189893.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2366 |
Number Of Medicare Beneficiaries With Medical Services |
1119 |
Total Medical Submitted Charge Amount |
657425 |
Total Medical Medicare Allowed Amount |
262919.88 |
Total Medical Medicare Payment Amount |
202275.9 |
Total Medical Medicare Standardized Payment Amount |
189893.93 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
512 |
Number Of Non Hispanic White Beneficiaries |
939 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
891 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
41 |
Average HCC Risk Score Of Beneficiaries |
1.8838 |