| National Provider Identifier [NPI]: | 1477558096 |
| Last Name Of The Provider | RUBENSTEIN |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7421 N UNIVERSITY DR |
| Street Address 2 Of The Provider | STE 307 |
| City Of The Provider | TAMARAC |
| Zip Code Of The Provider | 333216102 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 64 |
| Number Of Services | 12072 |
| Number Of Medicare Beneficiaries | 1946 |
| Total Submitted Charge Amount | 1365015 |
| Total Medicare Allowed Amount | 734594.37 |
| Total Medicare Payment Amount | 553519.62 |
| Total Medicare Standardized Payment Amount | 520858.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 148 |
| Number Of Medicare Beneficiaries With Drug Services | 71 |
| Total Drug Submitted ChargeAmount | 8680 |
| Total Drug Medicare AllowedAmount | 7676.24 |
| Total Drug Medicare PaymentAmount | 6009.56 |
| Total Drug Medicare Standardized Payment Amount | 6009.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 62 |
| Number Of Medical Services | 11924 |
| Number Of Medicare Beneficiaries With Medical Services | 1946 |
| Total Medical Submitted Charge Amount | 1356335 |
| Total Medical Medicare Allowed Amount | 726918.13 |
| Total Medical Medicare Payment Amount | 547510.06 |
| Total Medical Medicare Standardized Payment Amount | 514849.1 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 54 |
| Number Of Beneficiaries Age 65 to 74 | 657 |
| Number Of Beneficiaries Age 75 to 84 | 702 |
| Number Of Beneficiaries Age Greater 84 | 533 |
| Number Of Female Beneficiaries | 1108 |
| Number Of Male Beneficiaries | 838 |
| Number Of Non Hispanic White Beneficiaries | 1858 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1860 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 86 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2369 |