National Provider Identifier [NPI]: |
1609974476 |
Last Name Of The Provider |
SADLER |
First Name Of The Provider |
DIEGO |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 FORUM WAY |
Street Address 2 Of The Provider |
#300 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
33401 |
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 |
55 |
Number Of Services |
5507 |
Number Of Medicare Beneficiaries |
1997 |
Total Submitted Charge Amount |
603693 |
Total Medicare Allowed Amount |
386281.92 |
Total Medicare Payment Amount |
291661.89 |
Total Medicare Standardized Payment Amount |
281280.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
4330 |
Total Drug Medicare AllowedAmount |
4044.89 |
Total Drug Medicare PaymentAmount |
3171.15 |
Total Drug Medicare Standardized Payment Amount |
3171.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5429 |
Number Of Medicare Beneficiaries With Medical Services |
1997 |
Total Medical Submitted Charge Amount |
599363 |
Total Medical Medicare Allowed Amount |
382237.03 |
Total Medical Medicare Payment Amount |
288490.74 |
Total Medical Medicare Standardized Payment Amount |
278109.1 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
513 |
Number Of Beneficiaries Age 75 to 84 |
636 |
Number Of Beneficiaries Age Greater 84 |
619 |
Number Of Female Beneficiaries |
1042 |
Number Of Male Beneficiaries |
955 |
Number Of Non Hispanic White Beneficiaries |
1531 |
Number Of Black or African American Beneficiaries |
241 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
196 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1427 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
570 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2051 |