National Provider Identifier [NPI]: |
1437184314 |
Last Name Of The Provider |
FISHER |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5035 VIA DELRAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334841315 |
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 |
74 |
Number Of Services |
12716 |
Number Of Medicare Beneficiaries |
1668 |
Total Submitted Charge Amount |
1639725.82 |
Total Medicare Allowed Amount |
666960.56 |
Total Medicare Payment Amount |
502839.19 |
Total Medicare Standardized Payment Amount |
482317.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
319 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
41311 |
Total Drug Medicare AllowedAmount |
16731.5 |
Total Drug Medicare PaymentAmount |
13117.4 |
Total Drug Medicare Standardized Payment Amount |
13117.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
12397 |
Number Of Medicare Beneficiaries With Medical Services |
1668 |
Total Medical Submitted Charge Amount |
1598414.82 |
Total Medical Medicare Allowed Amount |
650229.06 |
Total Medical Medicare Payment Amount |
489721.79 |
Total Medical Medicare Standardized Payment Amount |
469200.5 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
722 |
Number Of Beneficiaries Age Greater 84 |
584 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
897 |
Number Of Non Hispanic White Beneficiaries |
1616 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1597 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8031 |