National Provider Identifier [NPI]: |
1285735944 |
Last Name Of The Provider |
HIRSH |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15300 JOG RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334462162 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
108408 |
Number Of Medicare Beneficiaries |
1618 |
Total Submitted Charge Amount |
4550225.07 |
Total Medicare Allowed Amount |
2088413.18 |
Total Medicare Payment Amount |
1624617.49 |
Total Medicare Standardized Payment Amount |
1555634.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
86692 |
Number Of Medicare Beneficiaries With Drug Services |
1465 |
Total Drug Submitted ChargeAmount |
924530.07 |
Total Drug Medicare AllowedAmount |
421739.34 |
Total Drug Medicare PaymentAmount |
330036.61 |
Total Drug Medicare Standardized Payment Amount |
330036.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
21716 |
Number Of Medicare Beneficiaries With Medical Services |
1618 |
Total Medical Submitted Charge Amount |
3625695 |
Total Medical Medicare Allowed Amount |
1666673.84 |
Total Medical Medicare Payment Amount |
1294580.88 |
Total Medical Medicare Standardized Payment Amount |
1225598.27 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
518 |
Number Of Beneficiaries Age 75 to 84 |
722 |
Number Of Beneficiaries Age Greater 84 |
367 |
Number Of Female Beneficiaries |
1060 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
1573 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4723 |