National Provider Identifier [NPI]: |
1255323093 |
Last Name Of The Provider |
MELHADO |
First Name Of The Provider |
MAURICIO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3472 FOREST HILL BLVD |
Street Address 2 Of The Provider |
SUITE 3B |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334065864 |
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 |
93 |
Number Of Services |
8864 |
Number Of Medicare Beneficiaries |
1462 |
Total Submitted Charge Amount |
3008724.7 |
Total Medicare Allowed Amount |
1309606.86 |
Total Medicare Payment Amount |
1000130.87 |
Total Medicare Standardized Payment Amount |
984076.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1627 |
Number Of Medicare Beneficiaries With Drug Services |
353 |
Total Drug Submitted ChargeAmount |
173127.5 |
Total Drug Medicare AllowedAmount |
68930.45 |
Total Drug Medicare PaymentAmount |
53649.54 |
Total Drug Medicare Standardized Payment Amount |
53649.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
7237 |
Number Of Medicare Beneficiaries With Medical Services |
1462 |
Total Medical Submitted Charge Amount |
2835597.2 |
Total Medical Medicare Allowed Amount |
1240676.41 |
Total Medical Medicare Payment Amount |
946481.33 |
Total Medical Medicare Standardized Payment Amount |
930426.58 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
524 |
Number Of Beneficiaries Age 75 to 84 |
463 |
Number Of Beneficiaries Age Greater 84 |
302 |
Number Of Female Beneficiaries |
757 |
Number Of Male Beneficiaries |
705 |
Number Of Non Hispanic White Beneficiaries |
1056 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
212 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1069 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
393 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8829 |