National Provider Identifier [NPI]: |
1184674699 |
Last Name Of The Provider |
BARQUET |
First Name Of The Provider |
GLENN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D.PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3661 S MIAMI AVE |
Street Address 2 Of The Provider |
SUITE # 910 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331334236 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
6500 |
Number Of Medicare Beneficiaries |
1045 |
Total Submitted Charge Amount |
4147750.25 |
Total Medicare Allowed Amount |
1397874.82 |
Total Medicare Payment Amount |
1074829.97 |
Total Medicare Standardized Payment Amount |
1026184.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
698 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
103852.46 |
Total Drug Medicare AllowedAmount |
36447.71 |
Total Drug Medicare PaymentAmount |
28574.77 |
Total Drug Medicare Standardized Payment Amount |
28574.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
5802 |
Number Of Medicare Beneficiaries With Medical Services |
1045 |
Total Medical Submitted Charge Amount |
4043897.79 |
Total Medical Medicare Allowed Amount |
1361427.11 |
Total Medical Medicare Payment Amount |
1046255.2 |
Total Medical Medicare Standardized Payment Amount |
997610.21 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
372 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
438 |
Number Of Non Hispanic White Beneficiaries |
164 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
840 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
291 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
754 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2362 |