National Provider Identifier [NPI]: |
1992887301 |
Last Name Of The Provider |
BOROS |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D., F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 NORTHSIDE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
KEY WEST |
Zip Code Of The Provider |
330404238 |
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 |
69 |
Number Of Services |
8155 |
Number Of Medicare Beneficiaries |
1117 |
Total Submitted Charge Amount |
3566835.27 |
Total Medicare Allowed Amount |
690040.7 |
Total Medicare Payment Amount |
509303.74 |
Total Medicare Standardized Payment Amount |
495695.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1031 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
138341 |
Total Drug Medicare AllowedAmount |
48833.83 |
Total Drug Medicare PaymentAmount |
37617.62 |
Total Drug Medicare Standardized Payment Amount |
37617.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
7124 |
Number Of Medicare Beneficiaries With Medical Services |
1117 |
Total Medical Submitted Charge Amount |
3428494.27 |
Total Medical Medicare Allowed Amount |
641206.87 |
Total Medical Medicare Payment Amount |
471686.12 |
Total Medical Medicare Standardized Payment Amount |
458078.03 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
182 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
644 |
Number Of Non Hispanic White Beneficiaries |
901 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
142 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2331 |