National Provider Identifier [NPI]: |
1659474443 |
Last Name Of The Provider |
PARDO |
First Name Of The Provider |
IRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5162 LINTON BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334846567 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
31057 |
Number Of Medicare Beneficiaries |
737 |
Total Submitted Charge Amount |
568267.55 |
Total Medicare Allowed Amount |
538582.77 |
Total Medicare Payment Amount |
416961.59 |
Total Medicare Standardized Payment Amount |
403697.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
20894 |
Number Of Medicare Beneficiaries With Drug Services |
428 |
Total Drug Submitted ChargeAmount |
228717.71 |
Total Drug Medicare AllowedAmount |
226267.06 |
Total Drug Medicare PaymentAmount |
176471.14 |
Total Drug Medicare Standardized Payment Amount |
176471.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
10163 |
Number Of Medicare Beneficiaries With Medical Services |
737 |
Total Medical Submitted Charge Amount |
339549.84 |
Total Medical Medicare Allowed Amount |
312315.71 |
Total Medical Medicare Payment Amount |
240490.45 |
Total Medical Medicare Standardized Payment Amount |
227226.13 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
717 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
717 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5778 |