National Provider Identifier [NPI]: |
1558334581 |
Last Name Of The Provider |
SAFAR |
First Name Of The Provider |
AMMAR |
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 |
4000 MIAMISBURG CENTERVILLE RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MIAMISBURG |
Zip Code Of The Provider |
453427615 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
2358 |
Number Of Medicare Beneficiaries |
1171 |
Total Submitted Charge Amount |
489084.5 |
Total Medicare Allowed Amount |
172155.39 |
Total Medicare Payment Amount |
131787.22 |
Total Medicare Standardized Payment Amount |
136082.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2358 |
Number Of Medicare Beneficiaries With Medical Services |
1171 |
Total Medical Submitted Charge Amount |
489084.5 |
Total Medical Medicare Allowed Amount |
172155.39 |
Total Medical Medicare Payment Amount |
131787.22 |
Total Medical Medicare Standardized Payment Amount |
136082.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
177 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
369 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
530 |
Number Of Non Hispanic White Beneficiaries |
1089 |
Number Of Black or African American Beneficiaries |
50 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
919 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
252 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9379 |