National Provider Identifier [NPI]: |
1699832949 |
Last Name Of The Provider |
DOSANI |
First Name Of The Provider |
RAZAK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5216 CLAYTON COURT |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339072116 |
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 |
65 |
Number Of Services |
4927 |
Number Of Medicare Beneficiaries |
1419 |
Total Submitted Charge Amount |
1426752 |
Total Medicare Allowed Amount |
481247.91 |
Total Medicare Payment Amount |
367734.38 |
Total Medicare Standardized Payment Amount |
353681.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
162 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
6924 |
Total Drug Medicare AllowedAmount |
4642.9 |
Total Drug Medicare PaymentAmount |
3785.97 |
Total Drug Medicare Standardized Payment Amount |
3785.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4765 |
Number Of Medicare Beneficiaries With Medical Services |
1419 |
Total Medical Submitted Charge Amount |
1419828 |
Total Medical Medicare Allowed Amount |
476605.01 |
Total Medical Medicare Payment Amount |
363948.41 |
Total Medical Medicare Standardized Payment Amount |
349895.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
514 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
701 |
Number Of Male Beneficiaries |
718 |
Number Of Non Hispanic White Beneficiaries |
1215 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
991 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
428 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0543 |