National Provider Identifier [NPI]: |
1457354698 |
Last Name Of The Provider |
HENDLEY |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 36TH ST |
Street Address 2 Of The Provider |
STE 1C |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329604898 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
7384 |
Number Of Medicare Beneficiaries |
911 |
Total Submitted Charge Amount |
671026.53 |
Total Medicare Allowed Amount |
607640.66 |
Total Medicare Payment Amount |
453953.83 |
Total Medicare Standardized Payment Amount |
437393.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
406 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
16865 |
Total Drug Medicare AllowedAmount |
10174.4 |
Total Drug Medicare PaymentAmount |
7934.59 |
Total Drug Medicare Standardized Payment Amount |
7934.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
6978 |
Number Of Medicare Beneficiaries With Medical Services |
911 |
Total Medical Submitted Charge Amount |
654161.53 |
Total Medical Medicare Allowed Amount |
597466.26 |
Total Medical Medicare Payment Amount |
446019.24 |
Total Medical Medicare Standardized Payment Amount |
429458.85 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
371 |
Number Of Beneficiaries Age Greater 84 |
290 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
408 |
Number Of Non Hispanic White Beneficiaries |
789 |
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 |
774 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.581 |