National Provider Identifier [NPI]: |
1710967328 |
Last Name Of The Provider |
WEISS |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1051 PORT MALABAR BLVD NE |
Street Address 2 Of The Provider |
SUITE 6 |
City Of The Provider |
PALM BAY |
Zip Code Of The Provider |
329055153 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
16340 |
Number Of Medicare Beneficiaries |
768 |
Total Submitted Charge Amount |
4163341.5 |
Total Medicare Allowed Amount |
921059.75 |
Total Medicare Payment Amount |
682161.7 |
Total Medicare Standardized Payment Amount |
733684.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
11848 |
Number Of Medicare Beneficiaries With Drug Services |
327 |
Total Drug Submitted ChargeAmount |
37222.5 |
Total Drug Medicare AllowedAmount |
9228.03 |
Total Drug Medicare PaymentAmount |
7003.07 |
Total Drug Medicare Standardized Payment Amount |
7003.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
4492 |
Number Of Medicare Beneficiaries With Medical Services |
767 |
Total Medical Submitted Charge Amount |
4126119 |
Total Medical Medicare Allowed Amount |
911831.72 |
Total Medical Medicare Payment Amount |
675158.63 |
Total Medical Medicare Standardized Payment Amount |
726681.32 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
375 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
644 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
227 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.2961 |