National Provider Identifier [NPI]: |
1609967603 |
Last Name Of The Provider |
NEWMAN |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1360 E VENICE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342859066 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
11616 |
Number Of Medicare Beneficiaries |
2188 |
Total Submitted Charge Amount |
2068486 |
Total Medicare Allowed Amount |
907165.77 |
Total Medicare Payment Amount |
671989.66 |
Total Medicare Standardized Payment Amount |
655847.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
142 |
Total Drug Medicare AllowedAmount |
75.08 |
Total Drug Medicare PaymentAmount |
51.72 |
Total Drug Medicare Standardized Payment Amount |
51.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
11574 |
Number Of Medicare Beneficiaries With Medical Services |
2188 |
Total Medical Submitted Charge Amount |
2068344 |
Total Medical Medicare Allowed Amount |
907090.69 |
Total Medical Medicare Payment Amount |
671937.94 |
Total Medical Medicare Standardized Payment Amount |
655795.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
1114 |
Number Of Beneficiaries Age 75 to 84 |
791 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
1060 |
Number Of Male Beneficiaries |
1128 |
Number Of Non Hispanic White Beneficiaries |
2133 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8917 |