National Provider Identifier [NPI]: |
1639148745 |
Last Name Of The Provider |
PUROW |
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 |
4725 N FEDERAL HWY |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
33308 |
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 |
74 |
Number Of Services |
4808 |
Number Of Medicare Beneficiaries |
1489 |
Total Submitted Charge Amount |
643275.88 |
Total Medicare Allowed Amount |
353734.39 |
Total Medicare Payment Amount |
267433.32 |
Total Medicare Standardized Payment Amount |
253326.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
4808 |
Number Of Medicare Beneficiaries With Medical Services |
1489 |
Total Medical Submitted Charge Amount |
643275.88 |
Total Medical Medicare Allowed Amount |
353734.39 |
Total Medical Medicare Payment Amount |
267433.32 |
Total Medical Medicare Standardized Payment Amount |
253326.53 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
419 |
Number Of Female Beneficiaries |
700 |
Number Of Male Beneficiaries |
789 |
Number Of Non Hispanic White Beneficiaries |
1332 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1289 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9081 |