National Provider Identifier [NPI]: |
1801899158 |
Last Name Of The Provider |
ALI |
First Name Of The Provider |
ABBAS |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4730 SW 49TH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344746262 |
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 |
177 |
Number Of Services |
14054 |
Number Of Medicare Beneficiaries |
1561 |
Total Submitted Charge Amount |
3330595.25 |
Total Medicare Allowed Amount |
1508527.29 |
Total Medicare Payment Amount |
1160997.64 |
Total Medicare Standardized Payment Amount |
1172420.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
6402 |
Number Of Medicare Beneficiaries With Drug Services |
291 |
Total Drug Submitted ChargeAmount |
111459.25 |
Total Drug Medicare AllowedAmount |
54976.36 |
Total Drug Medicare PaymentAmount |
42978.57 |
Total Drug Medicare Standardized Payment Amount |
42978.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
7652 |
Number Of Medicare Beneficiaries With Medical Services |
1561 |
Total Medical Submitted Charge Amount |
3219136 |
Total Medical Medicare Allowed Amount |
1453550.93 |
Total Medical Medicare Payment Amount |
1118019.07 |
Total Medical Medicare Standardized Payment Amount |
1129441.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
626 |
Number Of Beneficiaries Age 75 to 84 |
518 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
855 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
1187 |
Number Of Black or African American Beneficiaries |
130 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
180 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1219 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
342 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7849 |