National Provider Identifier [NPI]: |
1811938301 |
Last Name Of The Provider |
BENTZ |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4820 OKEECHOBEE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334174628 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3692 |
Number Of Medicare Beneficiaries |
1487 |
Total Submitted Charge Amount |
668864.86 |
Total Medicare Allowed Amount |
493587.28 |
Total Medicare Payment Amount |
363417.48 |
Total Medicare Standardized Payment Amount |
346191.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3692 |
Number Of Medicare Beneficiaries With Medical Services |
1487 |
Total Medical Submitted Charge Amount |
668864.86 |
Total Medical Medicare Allowed Amount |
493587.28 |
Total Medical Medicare Payment Amount |
363417.48 |
Total Medical Medicare Standardized Payment Amount |
346191.96 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
544 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
305 |
Number Of Female Beneficiaries |
926 |
Number Of Male Beneficiaries |
561 |
Number Of Non Hispanic White Beneficiaries |
1179 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
88 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2272 |