National Provider Identifier [NPI]: |
1568443448 |
Last Name Of The Provider |
SIMEK |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 NW 82ND AVE |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
33324 |
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 |
75 |
Number Of Services |
2031 |
Number Of Medicare Beneficiaries |
1322 |
Total Submitted Charge Amount |
2040350 |
Total Medicare Allowed Amount |
258557.27 |
Total Medicare Payment Amount |
199247.56 |
Total Medicare Standardized Payment Amount |
188656.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
1440 |
Total Drug Medicare AllowedAmount |
340.58 |
Total Drug Medicare PaymentAmount |
289.06 |
Total Drug Medicare Standardized Payment Amount |
289.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
1965 |
Number Of Medicare Beneficiaries With Medical Services |
1322 |
Total Medical Submitted Charge Amount |
2038910 |
Total Medical Medicare Allowed Amount |
258216.69 |
Total Medical Medicare Payment Amount |
198958.5 |
Total Medical Medicare Standardized Payment Amount |
188367.87 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
574 |
Number Of Female Beneficiaries |
734 |
Number Of Male Beneficiaries |
588 |
Number Of Non Hispanic White Beneficiaries |
1214 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1159 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0832 |