National Provider Identifier [NPI]: |
1861440398 |
Last Name Of The Provider |
WEINBERG |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
943 S BENEVA RD |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342322476 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
5197 |
Number Of Medicare Beneficiaries |
419 |
Total Submitted Charge Amount |
259005.64 |
Total Medicare Allowed Amount |
186368.85 |
Total Medicare Payment Amount |
149949.88 |
Total Medicare Standardized Payment Amount |
151343.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
2622 |
Total Drug Medicare AllowedAmount |
1130.89 |
Total Drug Medicare PaymentAmount |
1055.82 |
Total Drug Medicare Standardized Payment Amount |
1055.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
5143 |
Number Of Medicare Beneficiaries With Medical Services |
419 |
Total Medical Submitted Charge Amount |
256383.64 |
Total Medical Medicare Allowed Amount |
185237.96 |
Total Medical Medicare Payment Amount |
148894.06 |
Total Medical Medicare Standardized Payment Amount |
150287.72 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
254 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
404 |
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 |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2257 |