National Provider Identifier [NPI]: |
1811933211 |
Last Name Of The Provider |
WEINER |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1001 NW 13TH ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862269 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
12186 |
Number Of Medicare Beneficiaries |
1153 |
Total Submitted Charge Amount |
599615.19 |
Total Medicare Allowed Amount |
480731.49 |
Total Medicare Payment Amount |
388303.62 |
Total Medicare Standardized Payment Amount |
372695.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
567 |
Number Of Medicare Beneficiaries With Drug Services |
361 |
Total Drug Submitted ChargeAmount |
20429.71 |
Total Drug Medicare AllowedAmount |
15281.74 |
Total Drug Medicare PaymentAmount |
14632.69 |
Total Drug Medicare Standardized Payment Amount |
14632.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
11619 |
Number Of Medicare Beneficiaries With Medical Services |
1151 |
Total Medical Submitted Charge Amount |
579185.48 |
Total Medical Medicare Allowed Amount |
465449.75 |
Total Medical Medicare Payment Amount |
373670.93 |
Total Medical Medicare Standardized Payment Amount |
358062.91 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
444 |
Number Of Beneficiaries Age 75 to 84 |
412 |
Number Of Beneficiaries Age Greater 84 |
265 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
1096 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.124 |