National Provider Identifier [NPI]: |
1225144579 |
Last Name Of The Provider |
AMEH |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1121 N CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347414405 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
2671 |
Number Of Medicare Beneficiaries |
802 |
Total Submitted Charge Amount |
552256.41 |
Total Medicare Allowed Amount |
288462.61 |
Total Medicare Payment Amount |
220422.2 |
Total Medicare Standardized Payment Amount |
221294.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
153 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
6003.48 |
Total Drug Medicare AllowedAmount |
930.14 |
Total Drug Medicare PaymentAmount |
841.08 |
Total Drug Medicare Standardized Payment Amount |
841.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2518 |
Number Of Medicare Beneficiaries With Medical Services |
802 |
Total Medical Submitted Charge Amount |
546252.93 |
Total Medical Medicare Allowed Amount |
287532.47 |
Total Medical Medicare Payment Amount |
219581.12 |
Total Medical Medicare Standardized Payment Amount |
220453.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
391 |
Number Of Non Hispanic White Beneficiaries |
525 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
177 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
29 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.6908 |