Medicare Facts for Dr. William A. Sunshine, MD


National Provider Identifier [NPI]: 1790765543
Last Name Of The Provider SUNSHINE
First Name Of The Provider WILLIAM
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 660 GLADES RD
Street Address 2 Of The Provider SUITE 306
City Of The Provider BOCA RATON
Zip Code Of The Provider 334316465
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 149692
Number Of Medicare Beneficiaries 521
Total Submitted Charge Amount 1755754
Total Medicare Allowed Amount 1367740.01
Total Medicare Payment Amount 1059944.06
Total Medicare Standardized Payment Amount 1045483.51
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 146089
Number Of Medicare Beneficiaries With Drug Services 305
Total Drug Submitted ChargeAmount 1321870
Total Drug Medicare AllowedAmount 1032526.9
Total Drug Medicare PaymentAmount 807578.59
Total Drug Medicare Standardized Payment Amount 807578.59
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 3603
Number Of Medicare Beneficiaries With Medical Services 521
Total Medical Submitted Charge Amount 433884
Total Medical Medicare Allowed Amount 335213.11
Total Medical Medicare Payment Amount 252365.47
Total Medical Medicare Standardized Payment Amount 237904.92
Average Age Of Beneficiaries 80
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 215
Number Of Beneficiaries Age Greater 84 168
Number Of Female Beneficiaries 393
Number Of Male Beneficiaries 128
Number Of Non Hispanic White Beneficiaries 501
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 504
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 13
Percent Of With Cancer 14
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 23
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 42
Percent Of With Rheumatoid Arthritis Osteoarthritis 74
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.4218

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