National Provider Identifier [NPI]: |
1700831047 |
Last Name Of The Provider |
ALIABADI |
First Name Of The Provider |
DARIUS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1118 ROSS CLARK CIR |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
363013001 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
16721 |
Number Of Medicare Beneficiaries |
3122 |
Total Submitted Charge Amount |
4003080.5 |
Total Medicare Allowed Amount |
1531281.01 |
Total Medicare Payment Amount |
1163130.12 |
Total Medicare Standardized Payment Amount |
1263462.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
304 |
Number Of Medicare Beneficiaries With Drug Services |
302 |
Total Drug Submitted ChargeAmount |
67310.5 |
Total Drug Medicare AllowedAmount |
15990.69 |
Total Drug Medicare PaymentAmount |
12536.5 |
Total Drug Medicare Standardized Payment Amount |
12536.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
16417 |
Number Of Medicare Beneficiaries With Medical Services |
3122 |
Total Medical Submitted Charge Amount |
3935770 |
Total Medical Medicare Allowed Amount |
1515290.32 |
Total Medical Medicare Payment Amount |
1150593.62 |
Total Medical Medicare Standardized Payment Amount |
1250925.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
482 |
Number Of Beneficiaries Age 65 to 74 |
1194 |
Number Of Beneficiaries Age 75 to 84 |
1097 |
Number Of Beneficiaries Age Greater 84 |
349 |
Number Of Female Beneficiaries |
1636 |
Number Of Male Beneficiaries |
1486 |
Number Of Non Hispanic White Beneficiaries |
2517 |
Number Of Black or African American Beneficiaries |
570 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
770 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.484 |