National Provider Identifier [NPI]: |
1790760783 |
Last Name Of The Provider |
DRUCKER |
First Name Of The Provider |
YOEL |
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 |
1945 VERSAILLES ST |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342396900 |
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 |
54 |
Number Of Services |
25891.7 |
Number Of Medicare Beneficiaries |
581 |
Total Submitted Charge Amount |
1602432.45 |
Total Medicare Allowed Amount |
783046.09 |
Total Medicare Payment Amount |
597477.9 |
Total Medicare Standardized Payment Amount |
600130.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
20996.7 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
889064.15 |
Total Drug Medicare AllowedAmount |
351700.9 |
Total Drug Medicare PaymentAmount |
275472.34 |
Total Drug Medicare Standardized Payment Amount |
275472.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
4895 |
Number Of Medicare Beneficiaries With Medical Services |
581 |
Total Medical Submitted Charge Amount |
713368.3 |
Total Medical Medicare Allowed Amount |
431345.19 |
Total Medical Medicare Payment Amount |
322005.56 |
Total Medical Medicare Standardized Payment Amount |
324657.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
562 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
36 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2407 |