National Provider Identifier [NPI]: |
1659338457 |
Last Name Of The Provider |
COELHO |
First Name Of The Provider |
ALDO |
Middle Initial Of The Provider |
|
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 |
331801204 |
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 |
72 |
Number Of Services |
4673 |
Number Of Medicare Beneficiaries |
692 |
Total Submitted Charge Amount |
539369.33 |
Total Medicare Allowed Amount |
263413.46 |
Total Medicare Payment Amount |
204016.8 |
Total Medicare Standardized Payment Amount |
192177.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
7695 |
Total Drug Medicare AllowedAmount |
2861.2 |
Total Drug Medicare PaymentAmount |
2383.26 |
Total Drug Medicare Standardized Payment Amount |
2383.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
4576 |
Number Of Medicare Beneficiaries With Medical Services |
692 |
Total Medical Submitted Charge Amount |
531674.33 |
Total Medical Medicare Allowed Amount |
260552.26 |
Total Medical Medicare Payment Amount |
201633.54 |
Total Medical Medicare Standardized Payment Amount |
189794.28 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
280 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
541 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
205 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.5407 |