National Provider Identifier [NPI]: |
1518956572 |
Last Name Of The Provider |
GORIN |
First Name Of The Provider |
ENRIQUE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21110 BISCAYNE BLVD |
Street Address 2 Of The Provider |
SUITE #206 |
City Of The Provider |
AVENTURA |
Zip Code Of The Provider |
331801227 |
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 |
71 |
Number Of Services |
5776 |
Number Of Medicare Beneficiaries |
797 |
Total Submitted Charge Amount |
1281126.64 |
Total Medicare Allowed Amount |
477637.74 |
Total Medicare Payment Amount |
353037.41 |
Total Medicare Standardized Payment Amount |
331234.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
586 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
15031.61 |
Total Drug Medicare AllowedAmount |
3628.43 |
Total Drug Medicare PaymentAmount |
3362.57 |
Total Drug Medicare Standardized Payment Amount |
3362.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5190 |
Number Of Medicare Beneficiaries With Medical Services |
797 |
Total Medical Submitted Charge Amount |
1266095.03 |
Total Medical Medicare Allowed Amount |
474009.31 |
Total Medical Medicare Payment Amount |
349674.84 |
Total Medical Medicare Standardized Payment Amount |
327872.15 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
414 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
279 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
496 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
301 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8911 |