National Provider Identifier [NPI]: |
1104835099 |
Last Name Of The Provider |
BIRRIEL |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
351 NW 42ND AVE STE 406 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331265689 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
7024 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
771531 |
Total Medicare Allowed Amount |
586912.3 |
Total Medicare Payment Amount |
453178.93 |
Total Medicare Standardized Payment Amount |
417734.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
199 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
7850 |
Total Drug Medicare AllowedAmount |
473.42 |
Total Drug Medicare PaymentAmount |
381.74 |
Total Drug Medicare Standardized Payment Amount |
381.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
6825 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
763681 |
Total Medical Medicare Allowed Amount |
586438.88 |
Total Medical Medicare Payment Amount |
452797.19 |
Total Medical Medicare Standardized Payment Amount |
417352.57 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
182 |
Number Of Female Beneficiaries |
357 |
Number Of Male Beneficiaries |
280 |
Number Of Non Hispanic White Beneficiaries |
55 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
535 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
64 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
573 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
66 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
72 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
75 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
73 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
35 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
3.6136 |