National Provider Identifier [NPI]: |
1518926864 |
Last Name Of The Provider |
CESPEDES |
First Name Of The Provider |
YVANA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2950 CLEVELAND CLINIC BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESTON |
Zip Code Of The Provider |
333313609 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
19304 |
Number Of Medicare Beneficiaries |
8005 |
Total Submitted Charge Amount |
3064894.65 |
Total Medicare Allowed Amount |
1026693.76 |
Total Medicare Payment Amount |
753312.62 |
Total Medicare Standardized Payment Amount |
524106.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
19304 |
Number Of Medicare Beneficiaries With Medical Services |
8005 |
Total Medical Submitted Charge Amount |
3064894.65 |
Total Medical Medicare Allowed Amount |
1026693.76 |
Total Medical Medicare Payment Amount |
753312.62 |
Total Medical Medicare Standardized Payment Amount |
524106.5 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
3794 |
Number Of Beneficiaries Age 75 to 84 |
3013 |
Number Of Beneficiaries Age Greater 84 |
1022 |
Number Of Female Beneficiaries |
3781 |
Number Of Male Beneficiaries |
4224 |
Number Of Non Hispanic White Beneficiaries |
7717 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
114 |
Number Of Beneficiaries With Medicare Only Entitlement |
7629 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
376 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0139 |