National Provider Identifier [NPI]: |
1225036304 |
Last Name Of The Provider |
YOUSSEF |
First Name Of The Provider |
SAMEH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD FACC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3925 W BOYNTON BEACH BLVD |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
33436 |
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 |
53 |
Number Of Services |
9976 |
Number Of Medicare Beneficiaries |
1356 |
Total Submitted Charge Amount |
2582251.81 |
Total Medicare Allowed Amount |
1154261.73 |
Total Medicare Payment Amount |
892320.16 |
Total Medicare Standardized Payment Amount |
862736.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1372 |
Number Of Medicare Beneficiaries With Drug Services |
340 |
Total Drug Submitted ChargeAmount |
205800 |
Total Drug Medicare AllowedAmount |
72653.05 |
Total Drug Medicare PaymentAmount |
56959.43 |
Total Drug Medicare Standardized Payment Amount |
56959.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
8604 |
Number Of Medicare Beneficiaries With Medical Services |
1356 |
Total Medical Submitted Charge Amount |
2376451.81 |
Total Medical Medicare Allowed Amount |
1081608.68 |
Total Medical Medicare Payment Amount |
835360.73 |
Total Medical Medicare Standardized Payment Amount |
805776.69 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
525 |
Number Of Beneficiaries Age Greater 84 |
443 |
Number Of Female Beneficiaries |
794 |
Number Of Male Beneficiaries |
562 |
Number Of Non Hispanic White Beneficiaries |
1236 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8254 |