National Provider Identifier [NPI]: |
1689674574 |
Last Name Of The Provider |
FRIEDLANDER |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8200 JOG RD |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334722981 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
4345 |
Number Of Medicare Beneficiaries |
894 |
Total Submitted Charge Amount |
1020325.94 |
Total Medicare Allowed Amount |
416220.5 |
Total Medicare Payment Amount |
310150.32 |
Total Medicare Standardized Payment Amount |
295832.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
2901 |
Total Drug Medicare AllowedAmount |
1203.25 |
Total Drug Medicare PaymentAmount |
1179.25 |
Total Drug Medicare Standardized Payment Amount |
1179.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
4262 |
Number Of Medicare Beneficiaries With Medical Services |
893 |
Total Medical Submitted Charge Amount |
1017424.94 |
Total Medical Medicare Allowed Amount |
415017.25 |
Total Medical Medicare Payment Amount |
308971.07 |
Total Medical Medicare Standardized Payment Amount |
294653.07 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
845 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
853 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4441 |