National Provider Identifier [NPI]: |
1356495014 |
Last Name Of The Provider |
OBERSTEIN |
First Name Of The Provider |
ELANA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21097 NE 27TH CT |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
AVENTURA |
Zip Code Of The Provider |
331801204 |
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 |
91 |
Number Of Services |
25989 |
Number Of Medicare Beneficiaries |
542 |
Total Submitted Charge Amount |
1306333 |
Total Medicare Allowed Amount |
923271.44 |
Total Medicare Payment Amount |
718109.27 |
Total Medicare Standardized Payment Amount |
701897.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
22120 |
Number Of Medicare Beneficiaries With Drug Services |
249 |
Total Drug Submitted ChargeAmount |
832006 |
Total Drug Medicare AllowedAmount |
681432.35 |
Total Drug Medicare PaymentAmount |
533925.44 |
Total Drug Medicare Standardized Payment Amount |
533925.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3869 |
Number Of Medicare Beneficiaries With Medical Services |
542 |
Total Medical Submitted Charge Amount |
474327 |
Total Medical Medicare Allowed Amount |
241839.09 |
Total Medical Medicare Payment Amount |
184183.83 |
Total Medical Medicare Standardized Payment Amount |
167972.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
105 |
Number Of Non Hispanic White Beneficiaries |
420 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
468 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
44 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5217 |