National Provider Identifier [NPI]: |
1922006196 |
Last Name Of The Provider |
GLATZER |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1930 NE 47 STREET |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FT LAUDERDALE |
Zip Code Of The Provider |
333087704 |
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 |
32 |
Number Of Services |
8767 |
Number Of Medicare Beneficiaries |
806 |
Total Submitted Charge Amount |
2366243.76 |
Total Medicare Allowed Amount |
1491647.48 |
Total Medicare Payment Amount |
1150487.3 |
Total Medicare Standardized Payment Amount |
1135134.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1572 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
1255678.75 |
Total Drug Medicare AllowedAmount |
1020715.3 |
Total Drug Medicare PaymentAmount |
800239.02 |
Total Drug Medicare Standardized Payment Amount |
800239.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
7195 |
Number Of Medicare Beneficiaries With Medical Services |
806 |
Total Medical Submitted Charge Amount |
1110565.01 |
Total Medical Medicare Allowed Amount |
470932.18 |
Total Medical Medicare Payment Amount |
350248.28 |
Total Medical Medicare Standardized Payment Amount |
334895.78 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
375 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
766 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
775 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6697 |