National Provider Identifier [NPI]: |
1023009909 |
Last Name Of The Provider |
MORSLI |
First Name Of The Provider |
HAKIM |
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 |
965 S BENEVA RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342322401 |
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 |
138 |
Number Of Services |
15736 |
Number Of Medicare Beneficiaries |
3649 |
Total Submitted Charge Amount |
3145288 |
Total Medicare Allowed Amount |
1513492.52 |
Total Medicare Payment Amount |
1148506.9 |
Total Medicare Standardized Payment Amount |
1170483.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1388 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
95516 |
Total Drug Medicare AllowedAmount |
47131.9 |
Total Drug Medicare PaymentAmount |
36723.66 |
Total Drug Medicare Standardized Payment Amount |
36723.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
14348 |
Number Of Medicare Beneficiaries With Medical Services |
3649 |
Total Medical Submitted Charge Amount |
3049772 |
Total Medical Medicare Allowed Amount |
1466360.62 |
Total Medical Medicare Payment Amount |
1111783.24 |
Total Medical Medicare Standardized Payment Amount |
1133759.97 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
1297 |
Number Of Beneficiaries Age 75 to 84 |
1375 |
Number Of Beneficiaries Age Greater 84 |
856 |
Number Of Female Beneficiaries |
1793 |
Number Of Male Beneficiaries |
1856 |
Number Of Non Hispanic White Beneficiaries |
3444 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
3404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
245 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4032 |