National Provider Identifier [NPI]: |
1477536431 |
Last Name Of The Provider |
SLAWEK |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8300 W SUNRISE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
333225406 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
2427 |
Number Of Medicare Beneficiaries |
1622 |
Total Submitted Charge Amount |
1294211.86 |
Total Medicare Allowed Amount |
322795.35 |
Total Medicare Payment Amount |
258767.36 |
Total Medicare Standardized Payment Amount |
257205.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
5115 |
Total Drug Medicare AllowedAmount |
185.25 |
Total Drug Medicare PaymentAmount |
145.75 |
Total Drug Medicare Standardized Payment Amount |
145.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
2319 |
Number Of Medicare Beneficiaries With Medical Services |
1618 |
Total Medical Submitted Charge Amount |
1289096.86 |
Total Medical Medicare Allowed Amount |
322610.1 |
Total Medical Medicare Payment Amount |
258621.61 |
Total Medical Medicare Standardized Payment Amount |
257060.14 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
243 |
Number Of Beneficiaries Age 65 to 74 |
841 |
Number Of Beneficiaries Age 75 to 84 |
401 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
1175 |
Number Of Male Beneficiaries |
447 |
Number Of Non Hispanic White Beneficiaries |
1075 |
Number Of Black or African American Beneficiaries |
270 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
209 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
341 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1094 |