National Provider Identifier [NPI]: |
1902898919 |
Last Name Of The Provider |
SALTZMAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 NW 9TH CT |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862268 |
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 |
84 |
Number Of Services |
22737 |
Number Of Medicare Beneficiaries |
1439 |
Total Submitted Charge Amount |
2086712.55 |
Total Medicare Allowed Amount |
884042.19 |
Total Medicare Payment Amount |
692025.16 |
Total Medicare Standardized Payment Amount |
678760.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
5609 |
Number Of Medicare Beneficiaries With Drug Services |
235 |
Total Drug Submitted ChargeAmount |
29660 |
Total Drug Medicare AllowedAmount |
18429.74 |
Total Drug Medicare PaymentAmount |
14346.3 |
Total Drug Medicare Standardized Payment Amount |
14346.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
17128 |
Number Of Medicare Beneficiaries With Medical Services |
1439 |
Total Medical Submitted Charge Amount |
2057052.55 |
Total Medical Medicare Allowed Amount |
865612.45 |
Total Medical Medicare Payment Amount |
677678.86 |
Total Medical Medicare Standardized Payment Amount |
664414.36 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
568 |
Number Of Beneficiaries Age Greater 84 |
533 |
Number Of Female Beneficiaries |
684 |
Number Of Male Beneficiaries |
755 |
Number Of Non Hispanic White Beneficiaries |
1391 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.762 |