National Provider Identifier [NPI]: |
1942207055 |
Last Name Of The Provider |
SEIFEIN |
First Name Of The Provider |
HANI |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1613 N MILLS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031849 |
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 |
77 |
Number Of Services |
9178 |
Number Of Medicare Beneficiaries |
3348 |
Total Submitted Charge Amount |
1212552 |
Total Medicare Allowed Amount |
368443.77 |
Total Medicare Payment Amount |
278696 |
Total Medicare Standardized Payment Amount |
282305.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2429 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
30137 |
Total Drug Medicare AllowedAmount |
10678.02 |
Total Drug Medicare PaymentAmount |
8371.49 |
Total Drug Medicare Standardized Payment Amount |
8371.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6749 |
Number Of Medicare Beneficiaries With Medical Services |
3348 |
Total Medical Submitted Charge Amount |
1182415 |
Total Medical Medicare Allowed Amount |
357765.75 |
Total Medical Medicare Payment Amount |
270324.51 |
Total Medical Medicare Standardized Payment Amount |
273933.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
606 |
Number Of Beneficiaries Age 65 to 74 |
1061 |
Number Of Beneficiaries Age 75 to 84 |
1074 |
Number Of Beneficiaries Age Greater 84 |
607 |
Number Of Female Beneficiaries |
1714 |
Number Of Male Beneficiaries |
1634 |
Number Of Non Hispanic White Beneficiaries |
2413 |
Number Of Black or African American Beneficiaries |
481 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
356 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
875 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.4014 |