National Provider Identifier [NPI]: |
1215929682 |
Last Name Of The Provider |
LEWIS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 NW 9TH CT |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862268 |
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 |
83 |
Number Of Services |
26457 |
Number Of Medicare Beneficiaries |
1605 |
Total Submitted Charge Amount |
1675639.96 |
Total Medicare Allowed Amount |
936969.14 |
Total Medicare Payment Amount |
729716.2 |
Total Medicare Standardized Payment Amount |
721177.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
504 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
22308 |
Total Drug Medicare AllowedAmount |
12858.04 |
Total Drug Medicare PaymentAmount |
10084.54 |
Total Drug Medicare Standardized Payment Amount |
10084.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
25953 |
Number Of Medicare Beneficiaries With Medical Services |
1605 |
Total Medical Submitted Charge Amount |
1653331.96 |
Total Medical Medicare Allowed Amount |
924111.1 |
Total Medical Medicare Payment Amount |
719631.66 |
Total Medical Medicare Standardized Payment Amount |
711093.01 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
625 |
Number Of Beneficiaries Age Greater 84 |
649 |
Number Of Female Beneficiaries |
828 |
Number Of Male Beneficiaries |
777 |
Number Of Non Hispanic White Beneficiaries |
1571 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6344 |