National Provider Identifier [NPI]: |
1871530311 |
Last Name Of The Provider |
TALLET |
First Name Of The Provider |
JULIO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 N FLAMINGO RD |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
PEMBROKE PINES |
Zip Code Of The Provider |
330281015 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
5845 |
Number Of Medicare Beneficiaries |
2040 |
Total Submitted Charge Amount |
1164962.26 |
Total Medicare Allowed Amount |
409242.49 |
Total Medicare Payment Amount |
306598.14 |
Total Medicare Standardized Payment Amount |
296994.21 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
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Total Drug Submitted ChargeAmount |
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Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
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Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
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Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
291 |
Number Of Beneficiaries Age 65 to 74 |
610 |
Number Of Beneficiaries Age 75 to 84 |
606 |
Number Of Beneficiaries Age Greater 84 |
533 |
Number Of Female Beneficiaries |
1240 |
Number Of Male Beneficiaries |
800 |
Number Of Non Hispanic White Beneficiaries |
958 |
Number Of Black or African American Beneficiaries |
347 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
669 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
836 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.2682 |