National Provider Identifier [NPI]: |
1154390441 |
Last Name Of The Provider |
SANCHEZ |
First Name Of The Provider |
JAIME |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2140 W 68TH ST |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
HIALEAH |
Zip Code Of The Provider |
330161815 |
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 |
35 |
Number Of Services |
5841.4 |
Number Of Medicare Beneficiaries |
969 |
Total Submitted Charge Amount |
1608825.3 |
Total Medicare Allowed Amount |
654879.58 |
Total Medicare Payment Amount |
475827.45 |
Total Medicare Standardized Payment Amount |
448524.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
862.4 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
59193.06 |
Total Drug Medicare AllowedAmount |
23744.48 |
Total Drug Medicare PaymentAmount |
18615.51 |
Total Drug Medicare Standardized Payment Amount |
18615.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4979 |
Number Of Medicare Beneficiaries With Medical Services |
969 |
Total Medical Submitted Charge Amount |
1549632.24 |
Total Medical Medicare Allowed Amount |
631135.1 |
Total Medical Medicare Payment Amount |
457211.94 |
Total Medical Medicare Standardized Payment Amount |
429909.35 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
629 |
Number Of Male Beneficiaries |
340 |
Number Of Non Hispanic White Beneficiaries |
21 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
934 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
80 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
889 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8368 |