National Provider Identifier [NPI]: |
1265406201 |
Last Name Of The Provider |
ALVAREZ |
First Name Of The Provider |
ARIANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2815 S SEACREST BLVD |
Street Address 2 Of The Provider |
ATTENTION BETSY COX |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334357934 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
160 |
Number Of Services |
11736 |
Number Of Medicare Beneficiaries |
3020 |
Total Submitted Charge Amount |
1301651.6 |
Total Medicare Allowed Amount |
482057.72 |
Total Medicare Payment Amount |
399894.58 |
Total Medicare Standardized Payment Amount |
390160.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6250 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
22299.6 |
Total Drug Medicare AllowedAmount |
2294.48 |
Total Drug Medicare PaymentAmount |
1786.98 |
Total Drug Medicare Standardized Payment Amount |
1786.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
5486 |
Number Of Medicare Beneficiaries With Medical Services |
3020 |
Total Medical Submitted Charge Amount |
1279352 |
Total Medical Medicare Allowed Amount |
479763.24 |
Total Medical Medicare Payment Amount |
398107.6 |
Total Medical Medicare Standardized Payment Amount |
388373.04 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
952 |
Number Of Beneficiaries Age 75 to 84 |
1218 |
Number Of Beneficiaries Age Greater 84 |
686 |
Number Of Female Beneficiaries |
2299 |
Number Of Male Beneficiaries |
721 |
Number Of Non Hispanic White Beneficiaries |
2765 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2759 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5625 |