National Provider Identifier [NPI]: |
1992892236 |
Last Name Of The Provider |
BORLAND |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1411 N FLAGLER DR |
Street Address 2 Of The Provider |
SUITE 5300 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334013415 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
17162 |
Number Of Medicare Beneficiaries |
1985 |
Total Submitted Charge Amount |
2109910.33 |
Total Medicare Allowed Amount |
874627.75 |
Total Medicare Payment Amount |
663650.27 |
Total Medicare Standardized Payment Amount |
640998.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2623 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
310450 |
Total Drug Medicare AllowedAmount |
100156.8 |
Total Drug Medicare PaymentAmount |
78374.84 |
Total Drug Medicare Standardized Payment Amount |
78374.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
14539 |
Number Of Medicare Beneficiaries With Medical Services |
1985 |
Total Medical Submitted Charge Amount |
1799460.33 |
Total Medical Medicare Allowed Amount |
774470.95 |
Total Medical Medicare Payment Amount |
585275.43 |
Total Medical Medicare Standardized Payment Amount |
562623.62 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
620 |
Number Of Beneficiaries Age 75 to 84 |
889 |
Number Of Beneficiaries Age Greater 84 |
456 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
1618 |
Number Of Non Hispanic White Beneficiaries |
1897 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1961 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2569 |