National Provider Identifier [NPI]: |
1548211204 |
Last Name Of The Provider |
MANIAR |
First Name Of The Provider |
MAYUR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3540 N PINE ISLAND RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUNRISE |
Zip Code Of The Provider |
333516637 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
13114 |
Number Of Medicare Beneficiaries |
304 |
Total Submitted Charge Amount |
485158.64 |
Total Medicare Allowed Amount |
199639.82 |
Total Medicare Payment Amount |
150377.23 |
Total Medicare Standardized Payment Amount |
146784.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
12050 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
154100 |
Total Drug Medicare AllowedAmount |
64876.1 |
Total Drug Medicare PaymentAmount |
50862.91 |
Total Drug Medicare Standardized Payment Amount |
50862.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1064 |
Number Of Medicare Beneficiaries With Medical Services |
304 |
Total Medical Submitted Charge Amount |
331058.64 |
Total Medical Medicare Allowed Amount |
134763.72 |
Total Medical Medicare Payment Amount |
99514.32 |
Total Medical Medicare Standardized Payment Amount |
95921.77 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
179 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.4985 |