National Provider Identifier [NPI]: |
1932262698 |
Last Name Of The Provider |
RUIZ |
First Name Of The Provider |
ANDRES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
709 S FEDERAL HWY |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334355610 |
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 |
86 |
Number Of Services |
6830 |
Number Of Medicare Beneficiaries |
1982 |
Total Submitted Charge Amount |
1093476.52 |
Total Medicare Allowed Amount |
602885.11 |
Total Medicare Payment Amount |
462137.55 |
Total Medicare Standardized Payment Amount |
441528.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
2065 |
Total Drug Medicare AllowedAmount |
489.29 |
Total Drug Medicare PaymentAmount |
380.31 |
Total Drug Medicare Standardized Payment Amount |
380.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
6791 |
Number Of Medicare Beneficiaries With Medical Services |
1982 |
Total Medical Submitted Charge Amount |
1091411.52 |
Total Medical Medicare Allowed Amount |
602395.82 |
Total Medical Medicare Payment Amount |
461757.24 |
Total Medical Medicare Standardized Payment Amount |
441148.12 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
454 |
Number Of Beneficiaries Age 75 to 84 |
661 |
Number Of Beneficiaries Age Greater 84 |
744 |
Number Of Female Beneficiaries |
1081 |
Number Of Male Beneficiaries |
901 |
Number Of Non Hispanic White Beneficiaries |
1762 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
117 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.0526 |