National Provider Identifier [NPI]: |
1992904718 |
Last Name Of The Provider |
ANGLADE |
First Name Of The Provider |
MOISE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4915 SOUTH CONGRESS AVENUE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LAKE WORTH |
Zip Code Of The Provider |
33461 |
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 |
42 |
Number Of Services |
2786 |
Number Of Medicare Beneficiaries |
1172 |
Total Submitted Charge Amount |
594747 |
Total Medicare Allowed Amount |
280947.41 |
Total Medicare Payment Amount |
216687.34 |
Total Medicare Standardized Payment Amount |
208021.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
120 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
12720 |
Total Drug Medicare AllowedAmount |
6350.28 |
Total Drug Medicare PaymentAmount |
4978.62 |
Total Drug Medicare Standardized Payment Amount |
4978.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2666 |
Number Of Medicare Beneficiaries With Medical Services |
1172 |
Total Medical Submitted Charge Amount |
582027 |
Total Medical Medicare Allowed Amount |
274597.13 |
Total Medical Medicare Payment Amount |
211708.72 |
Total Medical Medicare Standardized Payment Amount |
203043 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
262 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
561 |
Number Of Non Hispanic White Beneficiaries |
792 |
Number Of Black or African American Beneficiaries |
163 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
187 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
707 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
465 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.1366 |