National Provider Identifier [NPI]: |
1538133442 |
Last Name Of The Provider |
RODRIGUEZ-PAZ |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7421 N UNIVERSITY DR |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
TAMARAC |
Zip Code Of The Provider |
333212977 |
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 |
82 |
Number Of Services |
11309 |
Number Of Medicare Beneficiaries |
962 |
Total Submitted Charge Amount |
1140862.71 |
Total Medicare Allowed Amount |
641757.42 |
Total Medicare Payment Amount |
495285.06 |
Total Medicare Standardized Payment Amount |
475879.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
514 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
12280 |
Total Drug Medicare AllowedAmount |
7856.61 |
Total Drug Medicare PaymentAmount |
6128.38 |
Total Drug Medicare Standardized Payment Amount |
6128.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
10795 |
Number Of Medicare Beneficiaries With Medical Services |
962 |
Total Medical Submitted Charge Amount |
1128582.71 |
Total Medical Medicare Allowed Amount |
633900.81 |
Total Medical Medicare Payment Amount |
489156.68 |
Total Medical Medicare Standardized Payment Amount |
469751.42 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
282 |
Number Of Beneficiaries Age Greater 84 |
315 |
Number Of Female Beneficiaries |
549 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
632 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
206 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
63 |
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 |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1388 |