National Provider Identifier [NPI]: |
1376733378 |
Last Name Of The Provider |
ELYAMAN |
First Name Of The Provider |
WALEED |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7350 SW 60TH AVE STE 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344766428 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
7372 |
Number Of Medicare Beneficiaries |
959 |
Total Submitted Charge Amount |
1350186.28 |
Total Medicare Allowed Amount |
668598.97 |
Total Medicare Payment Amount |
502614.64 |
Total Medicare Standardized Payment Amount |
501324.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
834 |
Number Of Medicare Beneficiaries With Drug Services |
315 |
Total Drug Submitted ChargeAmount |
16304.1 |
Total Drug Medicare AllowedAmount |
5338.99 |
Total Drug Medicare PaymentAmount |
5060.63 |
Total Drug Medicare Standardized Payment Amount |
5060.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
6538 |
Number Of Medicare Beneficiaries With Medical Services |
959 |
Total Medical Submitted Charge Amount |
1333882.18 |
Total Medical Medicare Allowed Amount |
663259.98 |
Total Medical Medicare Payment Amount |
497554.01 |
Total Medical Medicare Standardized Payment Amount |
496264.05 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
143 |
Number Of Beneficiaries Age 75 to 84 |
255 |
Number Of Beneficiaries Age Greater 84 |
505 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
900 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
708 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
62 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8447 |