National Provider Identifier [NPI]: |
1831160746 |
Last Name Of The Provider |
GOWANI |
First Name Of The Provider |
SHERALI |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7224 STONEROCK CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328198000 |
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 |
86 |
Number Of Services |
4691.2 |
Number Of Medicare Beneficiaries |
985 |
Total Submitted Charge Amount |
766861.6 |
Total Medicare Allowed Amount |
341760.97 |
Total Medicare Payment Amount |
255598.21 |
Total Medicare Standardized Payment Amount |
255750.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
327.2 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
24666.6 |
Total Drug Medicare AllowedAmount |
12472.65 |
Total Drug Medicare PaymentAmount |
9652.91 |
Total Drug Medicare Standardized Payment Amount |
9652.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
4364 |
Number Of Medicare Beneficiaries With Medical Services |
985 |
Total Medical Submitted Charge Amount |
742195 |
Total Medical Medicare Allowed Amount |
329288.32 |
Total Medical Medicare Payment Amount |
245945.3 |
Total Medical Medicare Standardized Payment Amount |
246097.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
450 |
Number Of Non Hispanic White Beneficiaries |
581 |
Number Of Black or African American Beneficiaries |
178 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
154 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1685 |