National Provider Identifier [NPI]: |
1225034986 |
Last Name Of The Provider |
AKLILU |
First Name Of The Provider |
YARED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4750 N FEDERAL HWY |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
FT LAUDERDALE |
Zip Code Of The Provider |
333084609 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
5812 |
Number Of Medicare Beneficiaries |
688 |
Total Submitted Charge Amount |
1391052.4 |
Total Medicare Allowed Amount |
620661.47 |
Total Medicare Payment Amount |
477150.6 |
Total Medicare Standardized Payment Amount |
457405.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
1095 |
Total Drug Medicare AllowedAmount |
734.56 |
Total Drug Medicare PaymentAmount |
717.79 |
Total Drug Medicare Standardized Payment Amount |
717.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
5783 |
Number Of Medicare Beneficiaries With Medical Services |
688 |
Total Medical Submitted Charge Amount |
1389957.4 |
Total Medical Medicare Allowed Amount |
619926.91 |
Total Medical Medicare Payment Amount |
476432.81 |
Total Medical Medicare Standardized Payment Amount |
456687.38 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
206 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
337 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.0728 |