National Provider Identifier [NPI]: |
1982607628 |
Last Name Of The Provider |
POLLAK |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21097 NE 27TH CT |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
AVENTURA |
Zip Code Of The Provider |
331801206 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
10652 |
Number Of Medicare Beneficiaries |
1551 |
Total Submitted Charge Amount |
1385741.99 |
Total Medicare Allowed Amount |
656221.32 |
Total Medicare Payment Amount |
504567.66 |
Total Medicare Standardized Payment Amount |
479178.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
211 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
22840 |
Total Drug Medicare AllowedAmount |
8674.47 |
Total Drug Medicare PaymentAmount |
7123.5 |
Total Drug Medicare Standardized Payment Amount |
7123.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
10441 |
Number Of Medicare Beneficiaries With Medical Services |
1551 |
Total Medical Submitted Charge Amount |
1362901.99 |
Total Medical Medicare Allowed Amount |
647546.85 |
Total Medical Medicare Payment Amount |
497444.16 |
Total Medical Medicare Standardized Payment Amount |
472055.23 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
500 |
Number Of Beneficiaries Age Greater 84 |
523 |
Number Of Female Beneficiaries |
869 |
Number Of Male Beneficiaries |
682 |
Number Of Non Hispanic White Beneficiaries |
1168 |
Number Of Black or African American Beneficiaries |
165 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1155 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
396 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1363 |