National Provider Identifier [NPI]: |
1215944939 |
Last Name Of The Provider |
AYOUBI |
First Name Of The Provider |
MAHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 W WATERS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336142713 |
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 |
60 |
Number Of Services |
3483 |
Number Of Medicare Beneficiaries |
1931 |
Total Submitted Charge Amount |
1159742.12 |
Total Medicare Allowed Amount |
337753.04 |
Total Medicare Payment Amount |
258882.01 |
Total Medicare Standardized Payment Amount |
261126.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
240 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
11445.12 |
Total Drug Medicare AllowedAmount |
10266.33 |
Total Drug Medicare PaymentAmount |
7976.84 |
Total Drug Medicare Standardized Payment Amount |
7976.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
3243 |
Number Of Medicare Beneficiaries With Medical Services |
1931 |
Total Medical Submitted Charge Amount |
1148297 |
Total Medical Medicare Allowed Amount |
327486.71 |
Total Medical Medicare Payment Amount |
250905.17 |
Total Medical Medicare Standardized Payment Amount |
253149.25 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
305 |
Number Of Beneficiaries Age 65 to 74 |
706 |
Number Of Beneficiaries Age 75 to 84 |
660 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
998 |
Number Of Male Beneficiaries |
933 |
Number Of Non Hispanic White Beneficiaries |
1739 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
530 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7879 |