National Provider Identifier [NPI]: |
1538164207 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
825 MEADOWS RD |
Street Address 2 Of The Provider |
STE 111 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862347 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
20898 |
Number Of Medicare Beneficiaries |
2704 |
Total Submitted Charge Amount |
2284278.8 |
Total Medicare Allowed Amount |
1312771.47 |
Total Medicare Payment Amount |
1030306.7 |
Total Medicare Standardized Payment Amount |
986243.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1396 |
Number Of Medicare Beneficiaries With Drug Services |
419 |
Total Drug Submitted ChargeAmount |
446513.35 |
Total Drug Medicare AllowedAmount |
106205.07 |
Total Drug Medicare PaymentAmount |
83255.02 |
Total Drug Medicare Standardized Payment Amount |
83255.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
19502 |
Number Of Medicare Beneficiaries With Medical Services |
2704 |
Total Medical Submitted Charge Amount |
1837765.45 |
Total Medical Medicare Allowed Amount |
1206566.4 |
Total Medical Medicare Payment Amount |
947051.68 |
Total Medical Medicare Standardized Payment Amount |
902988.67 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
678 |
Number Of Beneficiaries Age 75 to 84 |
1150 |
Number Of Beneficiaries Age Greater 84 |
851 |
Number Of Female Beneficiaries |
662 |
Number Of Male Beneficiaries |
2042 |
Number Of Non Hispanic White Beneficiaries |
2624 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2684 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4129 |