National Provider Identifier [NPI]: |
1356385736 |
Last Name Of The Provider |
MORYTKO |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8950 N KENDALL DR |
Street Address 2 Of The Provider |
SUITE 601 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331762144 |
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 |
37 |
Number Of Services |
2890 |
Number Of Medicare Beneficiaries |
955 |
Total Submitted Charge Amount |
859902.5 |
Total Medicare Allowed Amount |
240066.89 |
Total Medicare Payment Amount |
178320.02 |
Total Medicare Standardized Payment Amount |
168829.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
13100 |
Total Drug Medicare AllowedAmount |
5294.63 |
Total Drug Medicare PaymentAmount |
4150.97 |
Total Drug Medicare Standardized Payment Amount |
4150.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2790 |
Number Of Medicare Beneficiaries With Medical Services |
955 |
Total Medical Submitted Charge Amount |
846802.5 |
Total Medical Medicare Allowed Amount |
234772.26 |
Total Medical Medicare Payment Amount |
174169.05 |
Total Medical Medicare Standardized Payment Amount |
164678.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
320 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
540 |
Number Of Male Beneficiaries |
415 |
Number Of Non Hispanic White Beneficiaries |
422 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
450 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
563 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
392 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.2366 |