| National Provider Identifier [NPI]: | 1265468417 |
| Last Name Of The Provider | GLAUN |
| First Name Of The Provider | RUSSEL |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1590 NW 10TH AVE |
| Street Address 2 Of The Provider | SUITE 304 |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334861313 |
| 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 | 83 |
| Number Of Services | 15616 |
| Number Of Medicare Beneficiaries | 2294 |
| Total Submitted Charge Amount | 1494046.43 |
| Total Medicare Allowed Amount | 1020750.2 |
| Total Medicare Payment Amount | 779068.45 |
| Total Medicare Standardized Payment Amount | 617746.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 49 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 16958.85 |
| Total Drug Medicare AllowedAmount | 11425.79 |
| Total Drug Medicare PaymentAmount | 8929.1 |
| Total Drug Medicare Standardized Payment Amount | 8929.1 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 81 |
| Number Of Medical Services | 15567 |
| Number Of Medicare Beneficiaries With Medical Services | 2294 |
| Total Medical Submitted Charge Amount | 1477087.58 |
| Total Medical Medicare Allowed Amount | 1009324.41 |
| Total Medical Medicare Payment Amount | 770139.35 |
| Total Medical Medicare Standardized Payment Amount | 608817.21 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 21 |
| Number Of Beneficiaries Age 65 to 74 | 638 |
| Number Of Beneficiaries Age 75 to 84 | 1006 |
| Number Of Beneficiaries Age Greater 84 | 629 |
| Number Of Female Beneficiaries | 1137 |
| Number Of Male Beneficiaries | 1157 |
| Number Of Non Hispanic White Beneficiaries | 2229 |
| Number Of Black or African American Beneficiaries | |
| 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 | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2274 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 20 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2558 |