National Provider Identifier [NPI]: |
1447219316 |
Last Name Of The Provider |
FENSTER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD, FACC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3355 BURNS RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
PALM BEACH GARDENS |
Zip Code Of The Provider |
334104353 |
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 |
42 |
Number Of Services |
10831 |
Number Of Medicare Beneficiaries |
2063 |
Total Submitted Charge Amount |
2213447.78 |
Total Medicare Allowed Amount |
1096450.28 |
Total Medicare Payment Amount |
834967.72 |
Total Medicare Standardized Payment Amount |
799437.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
252 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
26928.72 |
Total Drug Medicare AllowedAmount |
13342.09 |
Total Drug Medicare PaymentAmount |
10460.14 |
Total Drug Medicare Standardized Payment Amount |
10460.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
10579 |
Number Of Medicare Beneficiaries With Medical Services |
2063 |
Total Medical Submitted Charge Amount |
2186519.06 |
Total Medical Medicare Allowed Amount |
1083108.19 |
Total Medical Medicare Payment Amount |
824507.58 |
Total Medical Medicare Standardized Payment Amount |
788977.08 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
633 |
Number Of Beneficiaries Age 75 to 84 |
827 |
Number Of Beneficiaries Age Greater 84 |
553 |
Number Of Female Beneficiaries |
963 |
Number Of Male Beneficiaries |
1100 |
Number Of Non Hispanic White Beneficiaries |
1970 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1966 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5938 |