National Provider Identifier [NPI]: |
1992856785 |
Last Name Of The Provider |
HERRERA |
First Name Of The Provider |
IVONNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 MIDDLEFORD RD |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
SEAFORD |
Zip Code Of The Provider |
199733664 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
59270 |
Number Of Medicare Beneficiaries |
992 |
Total Submitted Charge Amount |
2343856.5 |
Total Medicare Allowed Amount |
1577668.35 |
Total Medicare Payment Amount |
1172201.08 |
Total Medicare Standardized Payment Amount |
1161635.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
54907 |
Number Of Medicare Beneficiaries With Drug Services |
569 |
Total Drug Submitted ChargeAmount |
1728587.5 |
Total Drug Medicare AllowedAmount |
1210004.93 |
Total Drug Medicare PaymentAmount |
904696.96 |
Total Drug Medicare Standardized Payment Amount |
904696.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
4363 |
Number Of Medicare Beneficiaries With Medical Services |
975 |
Total Medical Submitted Charge Amount |
615269 |
Total Medical Medicare Allowed Amount |
367663.42 |
Total Medical Medicare Payment Amount |
267504.12 |
Total Medical Medicare Standardized Payment Amount |
256939 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
396 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
743 |
Number Of Male Beneficiaries |
249 |
Number Of Non Hispanic White Beneficiaries |
845 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
762 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
42 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4004 |