National Provider Identifier [NPI]: |
1669421418 |
Last Name Of The Provider |
GUIRGUIS |
First Name Of The Provider |
AMIR |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
410 CELEBRATION PL STE 103 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CELEBRATION |
Zip Code Of The Provider |
347475432 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
4071 |
Number Of Medicare Beneficiaries |
962 |
Total Submitted Charge Amount |
858348 |
Total Medicare Allowed Amount |
358728.84 |
Total Medicare Payment Amount |
258276 |
Total Medicare Standardized Payment Amount |
261523.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
216 |
Number Of Medicare Beneficiaries With Drug Services |
201 |
Total Drug Submitted ChargeAmount |
10975 |
Total Drug Medicare AllowedAmount |
4050.52 |
Total Drug Medicare PaymentAmount |
3969.6 |
Total Drug Medicare Standardized Payment Amount |
3969.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3855 |
Number Of Medicare Beneficiaries With Medical Services |
961 |
Total Medical Submitted Charge Amount |
847373 |
Total Medical Medicare Allowed Amount |
354678.32 |
Total Medical Medicare Payment Amount |
254306.4 |
Total Medical Medicare Standardized Payment Amount |
257553.69 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
519 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
501 |
Number Of Male Beneficiaries |
461 |
Number Of Non Hispanic White Beneficiaries |
820 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
908 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.11 |