National Provider Identifier [NPI]: |
1114941374 |
Last Name Of The Provider |
REHMAN |
First Name Of The Provider |
ARIF |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 W OAK ST |
Street Address 2 Of The Provider |
EMERGENCY ROOM |
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347414924 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
1499 |
Number Of Medicare Beneficiaries |
932 |
Total Submitted Charge Amount |
947726 |
Total Medicare Allowed Amount |
179915.31 |
Total Medicare Payment Amount |
138738.79 |
Total Medicare Standardized Payment Amount |
136147.89 |
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 |
25 |
Number Of Medical Services |
1499 |
Number Of Medicare Beneficiaries With Medical Services |
932 |
Total Medical Submitted Charge Amount |
947726 |
Total Medical Medicare Allowed Amount |
179915.31 |
Total Medical Medicare Payment Amount |
138738.79 |
Total Medical Medicare Standardized Payment Amount |
136147.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
440 |
Number Of Non Hispanic White Beneficiaries |
775 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.168 |