National Provider Identifier [NPI]: |
1215013560 |
Last Name Of The Provider |
VERAS |
First Name Of The Provider |
LUIS |
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 |
747 PONCE DE LEON BLVD |
Street Address 2 Of The Provider |
SUITE 606 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
33134 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
6677 |
Number Of Medicare Beneficiaries |
950 |
Total Submitted Charge Amount |
840623 |
Total Medicare Allowed Amount |
702145.02 |
Total Medicare Payment Amount |
538101.65 |
Total Medicare Standardized Payment Amount |
501374.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
133 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
5116 |
Total Drug Medicare AllowedAmount |
4447.14 |
Total Drug Medicare PaymentAmount |
4358.18 |
Total Drug Medicare Standardized Payment Amount |
4358.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
6544 |
Number Of Medicare Beneficiaries With Medical Services |
950 |
Total Medical Submitted Charge Amount |
835507 |
Total Medical Medicare Allowed Amount |
697697.88 |
Total Medical Medicare Payment Amount |
533743.47 |
Total Medical Medicare Standardized Payment Amount |
497016.46 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
172 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
330 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
556 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
141 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
747 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
753 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
46 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
57 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.6146 |