National Provider Identifier [NPI]: |
1861697948 |
Last Name Of The Provider |
ESPINOSA |
First Name Of The Provider |
PATRICIO |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD,MPH. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 MEADOWS RD |
Street Address 2 Of The Provider |
BOCA CARE INC |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862304 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
13686 |
Number Of Medicare Beneficiaries |
638 |
Total Submitted Charge Amount |
686308 |
Total Medicare Allowed Amount |
307782.04 |
Total Medicare Payment Amount |
230143.92 |
Total Medicare Standardized Payment Amount |
241213.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11146 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
184638 |
Total Drug Medicare AllowedAmount |
59547.95 |
Total Drug Medicare PaymentAmount |
46680.59 |
Total Drug Medicare Standardized Payment Amount |
46680.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2540 |
Number Of Medicare Beneficiaries With Medical Services |
638 |
Total Medical Submitted Charge Amount |
501670 |
Total Medical Medicare Allowed Amount |
248234.09 |
Total Medical Medicare Payment Amount |
183463.33 |
Total Medical Medicare Standardized Payment Amount |
194533.01 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
464 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
2.0694 |