National Provider Identifier [NPI]: |
1306074372 |
Last Name Of The Provider |
HORENSTEIN |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
695 N CLYDE MORRIS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321142321 |
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 |
4243 |
Number Of Medicare Beneficiaries |
1142 |
Total Submitted Charge Amount |
611361 |
Total Medicare Allowed Amount |
330223.66 |
Total Medicare Payment Amount |
248517.24 |
Total Medicare Standardized Payment Amount |
252290.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
609 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
50625 |
Total Drug Medicare AllowedAmount |
25040.32 |
Total Drug Medicare PaymentAmount |
19630.95 |
Total Drug Medicare Standardized Payment Amount |
19630.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3634 |
Number Of Medicare Beneficiaries With Medical Services |
1142 |
Total Medical Submitted Charge Amount |
560736 |
Total Medical Medicare Allowed Amount |
305183.34 |
Total Medical Medicare Payment Amount |
228886.29 |
Total Medical Medicare Standardized Payment Amount |
232659.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
997 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
836 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
306 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8402 |