National Provider Identifier [NPI]: |
1396774584 |
Last Name Of The Provider |
CANASI |
First Name Of The Provider |
JAVIER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3370 BURNS RD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
PALM BEACH GARDENS |
Zip Code Of The Provider |
334104327 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3634 |
Number Of Medicare Beneficiaries |
895 |
Total Submitted Charge Amount |
522471 |
Total Medicare Allowed Amount |
381487.99 |
Total Medicare Payment Amount |
286398.46 |
Total Medicare Standardized Payment Amount |
275120.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
2370 |
Total Drug Medicare AllowedAmount |
882.09 |
Total Drug Medicare PaymentAmount |
831.73 |
Total Drug Medicare Standardized Payment Amount |
831.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3526 |
Number Of Medicare Beneficiaries With Medical Services |
895 |
Total Medical Submitted Charge Amount |
520101 |
Total Medical Medicare Allowed Amount |
380605.9 |
Total Medical Medicare Payment Amount |
285566.73 |
Total Medical Medicare Standardized Payment Amount |
274289.12 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
795 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
825 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5675 |