National Provider Identifier [NPI]: |
1952405086 |
Last Name Of The Provider |
NASSBERG |
First Name Of The Provider |
SHELDON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., F.A.C.E. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4800 NE 20 TERR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
33308 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
5027 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
264999 |
Total Medicare Allowed Amount |
236428.84 |
Total Medicare Payment Amount |
176261.65 |
Total Medicare Standardized Payment Amount |
169153.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
580 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
11880 |
Total Drug Medicare AllowedAmount |
8368.06 |
Total Drug Medicare PaymentAmount |
6564.69 |
Total Drug Medicare Standardized Payment Amount |
6564.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
4447 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
253119 |
Total Medical Medicare Allowed Amount |
228060.78 |
Total Medical Medicare Payment Amount |
169696.96 |
Total Medical Medicare Standardized Payment Amount |
162588.78 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
395 |
Number Of Black or African American Beneficiaries |
20 |
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 |
417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5516 |