National Provider Identifier [NPI]: |
1326096694 |
Last Name Of The Provider |
FLORES |
First Name Of The Provider |
GERARD |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 HARTMAN ROAD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
FORT PIERCE |
Zip Code Of The Provider |
349474830 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
21016 |
Number Of Medicare Beneficiaries |
1281 |
Total Submitted Charge Amount |
2991031.27 |
Total Medicare Allowed Amount |
1465269.61 |
Total Medicare Payment Amount |
1130730.57 |
Total Medicare Standardized Payment Amount |
1088813.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
10641 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
175940 |
Total Drug Medicare AllowedAmount |
68076.86 |
Total Drug Medicare PaymentAmount |
52905.26 |
Total Drug Medicare Standardized Payment Amount |
52905.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
10375 |
Number Of Medicare Beneficiaries With Medical Services |
1281 |
Total Medical Submitted Charge Amount |
2815091.27 |
Total Medical Medicare Allowed Amount |
1397192.75 |
Total Medical Medicare Payment Amount |
1077825.31 |
Total Medical Medicare Standardized Payment Amount |
1035908.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
301 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
617 |
Number Of Male Beneficiaries |
664 |
Number Of Non Hispanic White Beneficiaries |
819 |
Number Of Black or African American Beneficiaries |
333 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
83 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
797 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
484 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.8115 |