National Provider Identifier [NPI]: |
1366445199 |
Last Name Of The Provider |
SYED |
First Name Of The Provider |
ASMA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5808 OLD PASCO RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESLEY CHAPEL |
Zip Code Of The Provider |
335444011 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5072 |
Number Of Medicare Beneficiaries |
890 |
Total Submitted Charge Amount |
619617 |
Total Medicare Allowed Amount |
443218.33 |
Total Medicare Payment Amount |
346239.23 |
Total Medicare Standardized Payment Amount |
342881.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
244 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
2178 |
Total Drug Medicare AllowedAmount |
1250.9 |
Total Drug Medicare PaymentAmount |
976.01 |
Total Drug Medicare Standardized Payment Amount |
976.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4828 |
Number Of Medicare Beneficiaries With Medical Services |
890 |
Total Medical Submitted Charge Amount |
617439 |
Total Medical Medicare Allowed Amount |
441967.43 |
Total Medical Medicare Payment Amount |
345263.22 |
Total Medical Medicare Standardized Payment Amount |
341905.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
778 |
Number Of Black or African American Beneficiaries |
66 |
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 |
629 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.6769 |