National Provider Identifier [NPI]: |
1407968787 |
Last Name Of The Provider |
MAKOVER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 N MILITARY TRL |
Street Address 2 Of The Provider |
SUITE 244N |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334316365 |
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 |
42 |
Number Of Services |
85791 |
Number Of Medicare Beneficiaries |
641 |
Total Submitted Charge Amount |
2042657.1 |
Total Medicare Allowed Amount |
1661813.61 |
Total Medicare Payment Amount |
1288401.07 |
Total Medicare Standardized Payment Amount |
1274615.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
81915 |
Number Of Medicare Beneficiaries With Drug Services |
463 |
Total Drug Submitted ChargeAmount |
1721939.1 |
Total Drug Medicare AllowedAmount |
1383645.26 |
Total Drug Medicare PaymentAmount |
1081027.04 |
Total Drug Medicare Standardized Payment Amount |
1081027.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3876 |
Number Of Medicare Beneficiaries With Medical Services |
641 |
Total Medical Submitted Charge Amount |
320718 |
Total Medical Medicare Allowed Amount |
278168.35 |
Total Medical Medicare Payment Amount |
207374.03 |
Total Medical Medicare Standardized Payment Amount |
193588.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
597 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
618 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
55 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2718 |