National Provider Identifier [NPI]: |
1720068224 |
Last Name Of The Provider |
STRONG |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
FOURSTRONG LLC |
Street Address 2 Of The Provider |
15841 PINES BLVD. #182 |
City Of The Provider |
PEMBROKE PINES |
Zip Code Of The Provider |
33027 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
2662 |
Number Of Medicare Beneficiaries |
1556 |
Total Submitted Charge Amount |
1205410 |
Total Medicare Allowed Amount |
290194.31 |
Total Medicare Payment Amount |
222866.53 |
Total Medicare Standardized Payment Amount |
211006.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1540 |
Total Drug Medicare AllowedAmount |
471.57 |
Total Drug Medicare PaymentAmount |
452.05 |
Total Drug Medicare Standardized Payment Amount |
452.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
2639 |
Number Of Medicare Beneficiaries With Medical Services |
1553 |
Total Medical Submitted Charge Amount |
1203870 |
Total Medical Medicare Allowed Amount |
289722.74 |
Total Medical Medicare Payment Amount |
222414.48 |
Total Medical Medicare Standardized Payment Amount |
210554.06 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
512 |
Number Of Beneficiaries Age Greater 84 |
630 |
Number Of Female Beneficiaries |
874 |
Number Of Male Beneficiaries |
682 |
Number Of Non Hispanic White Beneficiaries |
1452 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9799 |