National Provider Identifier [NPI]: |
1285689950 |
Last Name Of The Provider |
GALBUT |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5401 S CONGRESS AVE |
Street Address 2 Of The Provider |
102 |
City Of The Provider |
ATLANTIS |
Zip Code Of The Provider |
33462 |
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 |
51 |
Number Of Services |
5266 |
Number Of Medicare Beneficiaries |
2198 |
Total Submitted Charge Amount |
1115247 |
Total Medicare Allowed Amount |
577753.05 |
Total Medicare Payment Amount |
439522.95 |
Total Medicare Standardized Payment Amount |
425782.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
409 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
35992 |
Total Drug Medicare AllowedAmount |
21664.34 |
Total Drug Medicare PaymentAmount |
16685.35 |
Total Drug Medicare Standardized Payment Amount |
16685.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4857 |
Number Of Medicare Beneficiaries With Medical Services |
2198 |
Total Medical Submitted Charge Amount |
1079255 |
Total Medical Medicare Allowed Amount |
556088.71 |
Total Medical Medicare Payment Amount |
422837.6 |
Total Medical Medicare Standardized Payment Amount |
409096.84 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
612 |
Number Of Beneficiaries Age 75 to 84 |
798 |
Number Of Beneficiaries Age Greater 84 |
624 |
Number Of Female Beneficiaries |
1117 |
Number Of Male Beneficiaries |
1081 |
Number Of Non Hispanic White Beneficiaries |
1893 |
Number Of Black or African American Beneficiaries |
117 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
147 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9585 |