National Provider Identifier [NPI]: |
1679560007 |
Last Name Of The Provider |
HARRACKSINGH |
First Name Of The Provider |
LEA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
333 NW 70TH AVE |
Street Address 2 Of The Provider |
STE 206 |
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
333172385 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
856 |
Number Of Medicare Beneficiaries |
123 |
Total Submitted Charge Amount |
67780 |
Total Medicare Allowed Amount |
49331.47 |
Total Medicare Payment Amount |
34566.92 |
Total Medicare Standardized Payment Amount |
33756.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
2335 |
Total Drug Medicare AllowedAmount |
1796.66 |
Total Drug Medicare PaymentAmount |
1759.91 |
Total Drug Medicare Standardized Payment Amount |
1759.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
793 |
Number Of Medicare Beneficiaries With Medical Services |
123 |
Total Medical Submitted Charge Amount |
65445 |
Total Medical Medicare Allowed Amount |
47534.81 |
Total Medical Medicare Payment Amount |
32807.01 |
Total Medical Medicare Standardized Payment Amount |
31997.03 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
21 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
87 |
Number Of Male Beneficiaries |
36 |
Number Of Non Hispanic White Beneficiaries |
74 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.146 |