National Provider Identifier [NPI]: |
1316104326 |
Last Name Of The Provider |
ALVAREZ |
First Name Of The Provider |
YURI |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15830 SW 252ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOMESTEAD |
Zip Code Of The Provider |
330312018 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
4114 |
Number Of Medicare Beneficiaries |
860 |
Total Submitted Charge Amount |
1060681.7 |
Total Medicare Allowed Amount |
424480.8 |
Total Medicare Payment Amount |
331775.06 |
Total Medicare Standardized Payment Amount |
363456.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4114 |
Number Of Medicare Beneficiaries With Medical Services |
860 |
Total Medical Submitted Charge Amount |
1060681.7 |
Total Medical Medicare Allowed Amount |
424480.8 |
Total Medical Medicare Payment Amount |
331775.06 |
Total Medical Medicare Standardized Payment Amount |
363456.52 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
270 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
147 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
639 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
84 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
776 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
59 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
56 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.2173 |