National Provider Identifier [NPI]: |
1083720957 |
Last Name Of The Provider |
MADDEN |
First Name Of The Provider |
M |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1130 BAYVIEW DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
333042505 |
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 |
42 |
Number Of Services |
6891 |
Number Of Medicare Beneficiaries |
660 |
Total Submitted Charge Amount |
736021.36 |
Total Medicare Allowed Amount |
469025.65 |
Total Medicare Payment Amount |
350661.87 |
Total Medicare Standardized Payment Amount |
331422.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
148 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
5280 |
Total Drug Medicare AllowedAmount |
2507.52 |
Total Drug Medicare PaymentAmount |
2457.19 |
Total Drug Medicare Standardized Payment Amount |
2457.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
6743 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
730741.36 |
Total Medical Medicare Allowed Amount |
466518.13 |
Total Medical Medicare Payment Amount |
348204.68 |
Total Medical Medicare Standardized Payment Amount |
328965.12 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
634 |
Number Of Black or African American Beneficiaries |
|
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 |
644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0237 |