National Provider Identifier [NPI]: |
1265474563 |
Last Name Of The Provider |
KAMEL |
First Name Of The Provider |
SHERIEF |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
410 W 19TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324054602 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
15877 |
Number Of Medicare Beneficiaries |
1864 |
Total Submitted Charge Amount |
1829920.3 |
Total Medicare Allowed Amount |
898909.67 |
Total Medicare Payment Amount |
689076.55 |
Total Medicare Standardized Payment Amount |
694960.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2943 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
118730 |
Total Drug Medicare AllowedAmount |
42000.78 |
Total Drug Medicare PaymentAmount |
33036.98 |
Total Drug Medicare Standardized Payment Amount |
33036.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
12934 |
Number Of Medicare Beneficiaries With Medical Services |
1864 |
Total Medical Submitted Charge Amount |
1711190.3 |
Total Medical Medicare Allowed Amount |
856908.89 |
Total Medical Medicare Payment Amount |
656039.57 |
Total Medical Medicare Standardized Payment Amount |
661923.84 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
477 |
Number Of Beneficiaries Age 65 to 74 |
813 |
Number Of Beneficiaries Age 75 to 84 |
477 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
1153 |
Number Of Male Beneficiaries |
711 |
Number Of Non Hispanic White Beneficiaries |
1608 |
Number Of Black or African American Beneficiaries |
194 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1344 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
520 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7172 |