National Provider Identifier [NPI]: |
1265428270 |
Last Name Of The Provider |
RIFAI |
First Name Of The Provider |
AREF |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1549 AIRPORT BLVD |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325048633 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
10964 |
Number Of Medicare Beneficiaries |
1194 |
Total Submitted Charge Amount |
2235241 |
Total Medicare Allowed Amount |
1178436.29 |
Total Medicare Payment Amount |
897645.15 |
Total Medicare Standardized Payment Amount |
904459.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
710 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
405880 |
Total Drug Medicare AllowedAmount |
297241.67 |
Total Drug Medicare PaymentAmount |
233031.66 |
Total Drug Medicare Standardized Payment Amount |
233031.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
10254 |
Number Of Medicare Beneficiaries With Medical Services |
1194 |
Total Medical Submitted Charge Amount |
1829361 |
Total Medical Medicare Allowed Amount |
881194.62 |
Total Medical Medicare Payment Amount |
664613.49 |
Total Medical Medicare Standardized Payment Amount |
671427.87 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
497 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
708 |
Number Of Male Beneficiaries |
486 |
Number Of Non Hispanic White Beneficiaries |
963 |
Number Of Black or African American Beneficiaries |
167 |
Number Of AsianPacific Islander Beneficiaries |
28 |
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 |
1074 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3245 |