National Provider Identifier [NPI]: |
1205833597 |
Last Name Of The Provider |
RODRIGUEZ |
First Name Of The Provider |
GILBERTO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7800 SW 87TH AVE |
Street Address 2 Of The Provider |
B260 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331733570 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
13295 |
Number Of Medicare Beneficiaries |
339 |
Total Submitted Charge Amount |
353242 |
Total Medicare Allowed Amount |
183352.85 |
Total Medicare Payment Amount |
142674.19 |
Total Medicare Standardized Payment Amount |
133868.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
11772 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
118897 |
Total Drug Medicare AllowedAmount |
31165.6 |
Total Drug Medicare PaymentAmount |
24484.84 |
Total Drug Medicare Standardized Payment Amount |
24484.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
1523 |
Number Of Medicare Beneficiaries With Medical Services |
339 |
Total Medical Submitted Charge Amount |
234345 |
Total Medical Medicare Allowed Amount |
152187.25 |
Total Medical Medicare Payment Amount |
118189.35 |
Total Medical Medicare Standardized Payment Amount |
109383.86 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
116 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
208 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
163 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.7175 |