National Provider Identifier [NPI]: |
1235179573 |
Last Name Of The Provider |
WEISSBERGER |
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 |
5401 S CONGRESS AVE |
Street Address 2 Of The Provider |
#204 |
City Of The Provider |
ATLANTIS |
Zip Code Of The Provider |
33462 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
4992 |
Number Of Medicare Beneficiaries |
1144 |
Total Submitted Charge Amount |
774685 |
Total Medicare Allowed Amount |
385801.81 |
Total Medicare Payment Amount |
296103.53 |
Total Medicare Standardized Payment Amount |
284448.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1446 |
Total Drug Medicare AllowedAmount |
786.55 |
Total Drug Medicare PaymentAmount |
758.97 |
Total Drug Medicare Standardized Payment Amount |
758.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
4969 |
Number Of Medicare Beneficiaries With Medical Services |
1144 |
Total Medical Submitted Charge Amount |
773239 |
Total Medical Medicare Allowed Amount |
385015.26 |
Total Medical Medicare Payment Amount |
295344.56 |
Total Medical Medicare Standardized Payment Amount |
283689.72 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
416 |
Number Of Beneficiaries Age Greater 84 |
294 |
Number Of Female Beneficiaries |
642 |
Number Of Male Beneficiaries |
502 |
Number Of Non Hispanic White Beneficiaries |
939 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
869 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3815 |