National Provider Identifier [NPI]: |
1144227927 |
Last Name Of The Provider |
WATERS |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3100 CORAL HILLS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORAL SPRINGS |
Zip Code Of The Provider |
330654137 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
10531 |
Number Of Medicare Beneficiaries |
209 |
Total Submitted Charge Amount |
164660 |
Total Medicare Allowed Amount |
142205.46 |
Total Medicare Payment Amount |
106914.03 |
Total Medicare Standardized Payment Amount |
104623.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
9905 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
81950 |
Total Drug Medicare AllowedAmount |
76208.41 |
Total Drug Medicare PaymentAmount |
59693.05 |
Total Drug Medicare Standardized Payment Amount |
59693.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
626 |
Number Of Medicare Beneficiaries With Medical Services |
209 |
Total Medical Submitted Charge Amount |
82710 |
Total Medical Medicare Allowed Amount |
65997.05 |
Total Medical Medicare Payment Amount |
47220.98 |
Total Medical Medicare Standardized Payment Amount |
44930.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
140 |
Number Of Male Beneficiaries |
69 |
Number Of Non Hispanic White Beneficiaries |
169 |
Number Of Black or African American Beneficiaries |
20 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
33 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3292 |