National Provider Identifier [NPI]: |
1609862408 |
Last Name Of The Provider |
PENARANDA |
First Name Of The Provider |
RUBEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1150 CAMPO SANO AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
CORAL GABLES |
Zip Code Of The Provider |
331461174 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
6475 |
Number Of Medicare Beneficiaries |
982 |
Total Submitted Charge Amount |
1681316 |
Total Medicare Allowed Amount |
630934.44 |
Total Medicare Payment Amount |
475976.07 |
Total Medicare Standardized Payment Amount |
442624.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
863 |
Total Drug Medicare AllowedAmount |
425.49 |
Total Drug Medicare PaymentAmount |
410.26 |
Total Drug Medicare Standardized Payment Amount |
410.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
6452 |
Number Of Medicare Beneficiaries With Medical Services |
982 |
Total Medical Submitted Charge Amount |
1680453 |
Total Medical Medicare Allowed Amount |
630508.95 |
Total Medical Medicare Payment Amount |
475565.81 |
Total Medical Medicare Standardized Payment Amount |
442214.06 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
212 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
367 |
Number Of Female Beneficiaries |
623 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
257 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
684 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
366 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
616 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
50 |
Percent Of With Asthma |
28 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
65 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.8018 |