National Provider Identifier [NPI]: |
1790752699 |
Last Name Of The Provider |
DEONARINE |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1285 36TH STREET |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329606588 |
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 |
49 |
Number Of Services |
10314.6 |
Number Of Medicare Beneficiaries |
1593 |
Total Submitted Charge Amount |
1256805 |
Total Medicare Allowed Amount |
1031697.93 |
Total Medicare Payment Amount |
779439.7 |
Total Medicare Standardized Payment Amount |
750361.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
120 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
10800 |
Total Drug Medicare AllowedAmount |
6351.12 |
Total Drug Medicare PaymentAmount |
4979.23 |
Total Drug Medicare Standardized Payment Amount |
4979.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
10194.6 |
Number Of Medicare Beneficiaries With Medical Services |
1593 |
Total Medical Submitted Charge Amount |
1246005 |
Total Medical Medicare Allowed Amount |
1025346.81 |
Total Medical Medicare Payment Amount |
774460.47 |
Total Medical Medicare Standardized Payment Amount |
745382.32 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
467 |
Number Of Beneficiaries Age 75 to 84 |
671 |
Number Of Beneficiaries Age Greater 84 |
421 |
Number Of Female Beneficiaries |
795 |
Number Of Male Beneficiaries |
798 |
Number Of Non Hispanic White Beneficiaries |
1533 |
Number Of Black or African American Beneficiaries |
17 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3339 |