National Provider Identifier [NPI]: |
1720034861 |
Last Name Of The Provider |
AITKEN |
First Name Of The Provider |
PERCY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1150 CAMPO SANO AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
CORAL GABLES |
Zip Code Of The Provider |
331461174 |
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 |
40 |
Number Of Services |
6017 |
Number Of Medicare Beneficiaries |
1663 |
Total Submitted Charge Amount |
1551498.21 |
Total Medicare Allowed Amount |
485780.28 |
Total Medicare Payment Amount |
371085.4 |
Total Medicare Standardized Payment Amount |
348404.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
14672 |
Total Drug Medicare AllowedAmount |
5935.82 |
Total Drug Medicare PaymentAmount |
4653.67 |
Total Drug Medicare Standardized Payment Amount |
4653.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
5905 |
Number Of Medicare Beneficiaries With Medical Services |
1663 |
Total Medical Submitted Charge Amount |
1536826.21 |
Total Medical Medicare Allowed Amount |
479844.46 |
Total Medical Medicare Payment Amount |
366431.73 |
Total Medical Medicare Standardized Payment Amount |
343751.06 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
555 |
Number Of Beneficiaries Age Greater 84 |
520 |
Number Of Female Beneficiaries |
1014 |
Number Of Male Beneficiaries |
649 |
Number Of Non Hispanic White Beneficiaries |
616 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
959 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
883 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
780 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.1746 |