National Provider Identifier [NPI]: |
1831170240 |
Last Name Of The Provider |
TIRADO |
First Name Of The Provider |
PEDRO |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 S SEACREST BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334356517 |
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 |
69 |
Number Of Services |
12933 |
Number Of Medicare Beneficiaries |
1259 |
Total Submitted Charge Amount |
1531715 |
Total Medicare Allowed Amount |
818398.26 |
Total Medicare Payment Amount |
629502.94 |
Total Medicare Standardized Payment Amount |
584406.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5333 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
44260 |
Total Drug Medicare AllowedAmount |
28897.4 |
Total Drug Medicare PaymentAmount |
22650.45 |
Total Drug Medicare Standardized Payment Amount |
22650.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
7600 |
Number Of Medicare Beneficiaries With Medical Services |
1259 |
Total Medical Submitted Charge Amount |
1487455 |
Total Medical Medicare Allowed Amount |
789500.86 |
Total Medical Medicare Payment Amount |
606852.49 |
Total Medical Medicare Standardized Payment Amount |
561756.12 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
479 |
Number Of Beneficiaries Age Greater 84 |
429 |
Number Of Female Beneficiaries |
745 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
1072 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
1.9466 |