National Provider Identifier [NPI]: |
1144307786 |
Last Name Of The Provider |
KNEZ |
First Name Of The Provider |
PREDRAG |
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 |
108 INTRACOASTAL POINTE DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334775036 |
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 |
48 |
Number Of Services |
6027 |
Number Of Medicare Beneficiaries |
1423 |
Total Submitted Charge Amount |
1465640 |
Total Medicare Allowed Amount |
493302.09 |
Total Medicare Payment Amount |
383743.52 |
Total Medicare Standardized Payment Amount |
370575.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
240 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
24000 |
Total Drug Medicare AllowedAmount |
12703.54 |
Total Drug Medicare PaymentAmount |
9959.48 |
Total Drug Medicare Standardized Payment Amount |
9959.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
5787 |
Number Of Medicare Beneficiaries With Medical Services |
1423 |
Total Medical Submitted Charge Amount |
1441640 |
Total Medical Medicare Allowed Amount |
480598.55 |
Total Medical Medicare Payment Amount |
373784.04 |
Total Medical Medicare Standardized Payment Amount |
360615.79 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
534 |
Number Of Beneficiaries Age Greater 84 |
458 |
Number Of Female Beneficiaries |
737 |
Number Of Male Beneficiaries |
686 |
Number Of Non Hispanic White Beneficiaries |
1318 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1293 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8956 |