National Provider Identifier [NPI]: |
1477580603 |
Last Name Of The Provider |
CHERMAK |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3663 S MIAMI AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331334253 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
9693 |
Number Of Medicare Beneficiaries |
1625 |
Total Submitted Charge Amount |
657546.97 |
Total Medicare Allowed Amount |
194655.36 |
Total Medicare Payment Amount |
149995.69 |
Total Medicare Standardized Payment Amount |
145550.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6802 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
8117 |
Total Drug Medicare AllowedAmount |
1664.32 |
Total Drug Medicare PaymentAmount |
1294.08 |
Total Drug Medicare Standardized Payment Amount |
1294.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
2891 |
Number Of Medicare Beneficiaries With Medical Services |
1621 |
Total Medical Submitted Charge Amount |
649429.97 |
Total Medical Medicare Allowed Amount |
192991.04 |
Total Medical Medicare Payment Amount |
148701.61 |
Total Medical Medicare Standardized Payment Amount |
144256.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
554 |
Number Of Beneficiaries Age 75 to 84 |
505 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
922 |
Number Of Male Beneficiaries |
703 |
Number Of Non Hispanic White Beneficiaries |
566 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
921 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
711 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
914 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.07 |