National Provider Identifier [NPI]: |
1972553253 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
VINOD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1671 N CLYDE MORRIS BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
32117 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
23287 |
Number Of Medicare Beneficiaries |
791 |
Total Submitted Charge Amount |
1589755.69 |
Total Medicare Allowed Amount |
844364.59 |
Total Medicare Payment Amount |
660808.06 |
Total Medicare Standardized Payment Amount |
605105.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
12571 |
Number Of Medicare Beneficiaries With Drug Services |
461 |
Total Drug Submitted ChargeAmount |
70768 |
Total Drug Medicare AllowedAmount |
26593.46 |
Total Drug Medicare PaymentAmount |
19090.11 |
Total Drug Medicare Standardized Payment Amount |
19090.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
10716 |
Number Of Medicare Beneficiaries With Medical Services |
791 |
Total Medical Submitted Charge Amount |
1518987.69 |
Total Medical Medicare Allowed Amount |
817771.13 |
Total Medical Medicare Payment Amount |
641717.95 |
Total Medical Medicare Standardized Payment Amount |
586015.14 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
729 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
634 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5139 |