National Provider Identifier [NPI]: |
1669571543 |
Last Name Of The Provider |
FELDMAN |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 CLINT MOORE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334872768 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
5107 |
Number Of Medicare Beneficiaries |
988 |
Total Submitted Charge Amount |
2407895.68 |
Total Medicare Allowed Amount |
409165.03 |
Total Medicare Payment Amount |
320883.95 |
Total Medicare Standardized Payment Amount |
276461.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1735 |
Number Of Medicare Beneficiaries With Drug Services |
641 |
Total Drug Submitted ChargeAmount |
49643.12 |
Total Drug Medicare AllowedAmount |
7439.79 |
Total Drug Medicare PaymentAmount |
5829.64 |
Total Drug Medicare Standardized Payment Amount |
5829.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3372 |
Number Of Medicare Beneficiaries With Medical Services |
986 |
Total Medical Submitted Charge Amount |
2358252.56 |
Total Medical Medicare Allowed Amount |
401725.24 |
Total Medical Medicare Payment Amount |
315054.31 |
Total Medical Medicare Standardized Payment Amount |
270631.41 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
411 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
605 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
950 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
960 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2665 |