National Provider Identifier [NPI]: |
1922103878 |
Last Name Of The Provider |
MASCARENHAS |
First Name Of The Provider |
EUGENE |
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 |
8393 W OAKLAND PARK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUNRISE |
Zip Code Of The Provider |
333517307 |
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 |
59 |
Number Of Services |
6669 |
Number Of Medicare Beneficiaries |
1228 |
Total Submitted Charge Amount |
1160464.54 |
Total Medicare Allowed Amount |
477292.44 |
Total Medicare Payment Amount |
360558.38 |
Total Medicare Standardized Payment Amount |
345380.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
219 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
21607 |
Total Drug Medicare AllowedAmount |
9028.88 |
Total Drug Medicare PaymentAmount |
7173.61 |
Total Drug Medicare Standardized Payment Amount |
7173.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
6450 |
Number Of Medicare Beneficiaries With Medical Services |
1228 |
Total Medical Submitted Charge Amount |
1138857.54 |
Total Medical Medicare Allowed Amount |
468263.56 |
Total Medical Medicare Payment Amount |
353384.77 |
Total Medical Medicare Standardized Payment Amount |
338206.71 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
320 |
Number Of Beneficiaries Age Greater 84 |
510 |
Number Of Female Beneficiaries |
674 |
Number Of Male Beneficiaries |
554 |
Number Of Non Hispanic White Beneficiaries |
867 |
Number Of Black or African American Beneficiaries |
244 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
751 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
477 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.5387 |