National Provider Identifier [NPI]: |
1942336516 |
Last Name Of The Provider |
SHACHTER |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
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 202 |
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 |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4698 |
Number Of Medicare Beneficiaries |
1768 |
Total Submitted Charge Amount |
607893.23 |
Total Medicare Allowed Amount |
332184.39 |
Total Medicare Payment Amount |
254380.8 |
Total Medicare Standardized Payment Amount |
249028.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
145 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
15950 |
Total Drug Medicare AllowedAmount |
7673.31 |
Total Drug Medicare PaymentAmount |
5960.7 |
Total Drug Medicare Standardized Payment Amount |
5960.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4553 |
Number Of Medicare Beneficiaries With Medical Services |
1768 |
Total Medical Submitted Charge Amount |
591943.23 |
Total Medical Medicare Allowed Amount |
324511.08 |
Total Medical Medicare Payment Amount |
248420.1 |
Total Medical Medicare Standardized Payment Amount |
243068.17 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
594 |
Number Of Beneficiaries Age Greater 84 |
726 |
Number Of Female Beneficiaries |
913 |
Number Of Male Beneficiaries |
855 |
Number Of Non Hispanic White Beneficiaries |
1649 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1578 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.213 |