National Provider Identifier [NPI]: |
1154476836 |
Last Name Of The Provider |
AJI |
First Name Of The Provider |
WALIF |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4000 SHERIDAN ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
330213558 |
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 |
44 |
Number Of Services |
2576 |
Number Of Medicare Beneficiaries |
682 |
Total Submitted Charge Amount |
512882.93 |
Total Medicare Allowed Amount |
226055.56 |
Total Medicare Payment Amount |
165490.41 |
Total Medicare Standardized Payment Amount |
159272.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1400 |
Total Drug Medicare AllowedAmount |
12.41 |
Total Drug Medicare PaymentAmount |
9.64 |
Total Drug Medicare Standardized Payment Amount |
9.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2547 |
Number Of Medicare Beneficiaries With Medical Services |
682 |
Total Medical Submitted Charge Amount |
511482.93 |
Total Medical Medicare Allowed Amount |
226043.15 |
Total Medical Medicare Payment Amount |
165480.77 |
Total Medical Medicare Standardized Payment Amount |
159263.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
108 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
456 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2511 |