National Provider Identifier [NPI]: |
1881657914 |
Last Name Of The Provider |
HIRSCH |
First Name Of The Provider |
HENRY |
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 |
2500 E HALLANDALE BEACH BLVD |
Street Address 2 Of The Provider |
300A |
City Of The Provider |
HALLANDALE BEACH |
Zip Code Of The Provider |
330094834 |
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 |
49 |
Number Of Services |
3027 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
257644.7 |
Total Medicare Allowed Amount |
150946.43 |
Total Medicare Payment Amount |
115130.29 |
Total Medicare Standardized Payment Amount |
110300.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
1550 |
Total Drug Medicare AllowedAmount |
670.93 |
Total Drug Medicare PaymentAmount |
653.96 |
Total Drug Medicare Standardized Payment Amount |
653.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2974 |
Number Of Medicare Beneficiaries With Medical Services |
570 |
Total Medical Submitted Charge Amount |
256094.7 |
Total Medical Medicare Allowed Amount |
150275.5 |
Total Medical Medicare Payment Amount |
114476.33 |
Total Medical Medicare Standardized Payment Amount |
109646.87 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
466 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
431 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1683 |