National Provider Identifier [NPI]: |
1437141272 |
Last Name Of The Provider |
VEDERE |
First Name Of The Provider |
AMARNATH |
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 |
3347 STATE ROAD 7 |
Street Address 2 Of The Provider |
STE. 203 |
City Of The Provider |
WELLINGTON |
Zip Code Of The Provider |
334498095 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
8140 |
Number Of Medicare Beneficiaries |
1033 |
Total Submitted Charge Amount |
3344246.5 |
Total Medicare Allowed Amount |
1525275.45 |
Total Medicare Payment Amount |
1179015.07 |
Total Medicare Standardized Payment Amount |
1141029.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1015 |
Number Of Medicare Beneficiaries With Drug Services |
259 |
Total Drug Submitted ChargeAmount |
130133.5 |
Total Drug Medicare AllowedAmount |
53003.37 |
Total Drug Medicare PaymentAmount |
41297.74 |
Total Drug Medicare Standardized Payment Amount |
41297.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
7125 |
Number Of Medicare Beneficiaries With Medical Services |
1033 |
Total Medical Submitted Charge Amount |
3214113 |
Total Medical Medicare Allowed Amount |
1472272.08 |
Total Medical Medicare Payment Amount |
1137717.33 |
Total Medical Medicare Standardized Payment Amount |
1099731.29 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
387 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
486 |
Number Of Male Beneficiaries |
547 |
Number Of Non Hispanic White Beneficiaries |
803 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
74 |
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 |
840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6557 |