National Provider Identifier [NPI]: |
1740215284 |
Last Name Of The Provider |
MAJOR |
First Name Of The Provider |
MALCOLM |
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 |
301 NW 84TH AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
333241807 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1041 |
Number Of Medicare Beneficiaries |
287 |
Total Submitted Charge Amount |
132998 |
Total Medicare Allowed Amount |
92134.26 |
Total Medicare Payment Amount |
70611.18 |
Total Medicare Standardized Payment Amount |
67825.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
645 |
Total Drug Medicare AllowedAmount |
156.36 |
Total Drug Medicare PaymentAmount |
153.19 |
Total Drug Medicare Standardized Payment Amount |
153.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1027 |
Number Of Medicare Beneficiaries With Medical Services |
287 |
Total Medical Submitted Charge Amount |
132353 |
Total Medical Medicare Allowed Amount |
91977.9 |
Total Medical Medicare Payment Amount |
70457.99 |
Total Medical Medicare Standardized Payment Amount |
67672.6 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
163 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
55 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
27 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
2.942 |