National Provider Identifier [NPI]: |
1750429130 |
Last Name Of The Provider |
AZIZ |
First Name Of The Provider |
ABDULRAB |
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 |
125 DAUGHERTY DR |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
MONROEVILLE |
Zip Code Of The Provider |
151462749 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
5481 |
Number Of Medicare Beneficiaries |
901 |
Total Submitted Charge Amount |
1181049.42 |
Total Medicare Allowed Amount |
472799.32 |
Total Medicare Payment Amount |
347892.5 |
Total Medicare Standardized Payment Amount |
367296.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
225 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
42095 |
Total Drug Medicare AllowedAmount |
10478.42 |
Total Drug Medicare PaymentAmount |
8215.06 |
Total Drug Medicare Standardized Payment Amount |
8215.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
5256 |
Number Of Medicare Beneficiaries With Medical Services |
901 |
Total Medical Submitted Charge Amount |
1138954.42 |
Total Medical Medicare Allowed Amount |
462320.9 |
Total Medical Medicare Payment Amount |
339677.44 |
Total Medical Medicare Standardized Payment Amount |
359081.78 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
313 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
803 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
792 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6903 |