| National Provider Identifier [NPI]: | 1487748356 |
| Last Name Of The Provider | NASSIF |
| First Name Of The Provider | RODERICK |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 13685 DOCTORS WAY |
| Street Address 2 Of The Provider | SUITE 170 |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339124336 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 41 |
| Number Of Services | 11381 |
| Number Of Medicare Beneficiaries | 2255 |
| Total Submitted Charge Amount | 1517229.8 |
| Total Medicare Allowed Amount | 1175951.71 |
| Total Medicare Payment Amount | 897046.97 |
| Total Medicare Standardized Payment Amount | 858162.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 51 |
| Number Of Medicare Beneficiaries With Drug Services | 45 |
| Total Drug Submitted ChargeAmount | 1033.1 |
| Total Drug Medicare AllowedAmount | 487.57 |
| Total Drug Medicare PaymentAmount | 456.42 |
| Total Drug Medicare Standardized Payment Amount | 456.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 35 |
| Number Of Medical Services | 11330 |
| Number Of Medicare Beneficiaries With Medical Services | 2255 |
| Total Medical Submitted Charge Amount | 1516196.7 |
| Total Medical Medicare Allowed Amount | 1175464.14 |
| Total Medical Medicare Payment Amount | 896590.55 |
| Total Medical Medicare Standardized Payment Amount | 857705.67 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 233 |
| Number Of Beneficiaries Age 65 to 74 | 696 |
| Number Of Beneficiaries Age 75 to 84 | 719 |
| Number Of Beneficiaries Age Greater 84 | 607 |
| Number Of Female Beneficiaries | 1286 |
| Number Of Male Beneficiaries | 969 |
| Number Of Non Hispanic White Beneficiaries | 2008 |
| Number Of Black or African American Beneficiaries | 95 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 118 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1498 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 757 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 42 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 44 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 16 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9391 |