National Provider Identifier [NPI]: |
1457380776 |
Last Name Of The Provider |
ALBIBI |
First Name Of The Provider |
RIYAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
204 E 19TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324054707 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
5167 |
Number Of Medicare Beneficiaries |
1490 |
Total Submitted Charge Amount |
1463180 |
Total Medicare Allowed Amount |
588631.53 |
Total Medicare Payment Amount |
448659.09 |
Total Medicare Standardized Payment Amount |
423951.81 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
305 |
Number Of Beneficiaries Age 65 to 74 |
592 |
Number Of Beneficiaries Age 75 to 84 |
441 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
827 |
Number Of Male Beneficiaries |
663 |
Number Of Non Hispanic White Beneficiaries |
1261 |
Number Of Black or African American Beneficiaries |
173 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1066 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
424 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6371 |