National Provider Identifier [NPI]: |
1750305561 |
Last Name Of The Provider |
DELEON |
First Name Of The Provider |
RAMON |
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 |
2400 S MCCALL RD |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
342245137 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
16372 |
Number Of Medicare Beneficiaries |
943 |
Total Submitted Charge Amount |
1382355.16 |
Total Medicare Allowed Amount |
487186.23 |
Total Medicare Payment Amount |
376279.67 |
Total Medicare Standardized Payment Amount |
379905.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
223 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
6225 |
Total Drug Medicare AllowedAmount |
2202.18 |
Total Drug Medicare PaymentAmount |
2123.02 |
Total Drug Medicare Standardized Payment Amount |
2123.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
16149 |
Number Of Medicare Beneficiaries With Medical Services |
943 |
Total Medical Submitted Charge Amount |
1376130.16 |
Total Medical Medicare Allowed Amount |
484984.05 |
Total Medical Medicare Payment Amount |
374156.65 |
Total Medical Medicare Standardized Payment Amount |
377782.74 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
443 |
Number Of Beneficiaries Age 75 to 84 |
346 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
910 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0077 |