| National Provider Identifier [NPI]: | 1548299712 |
| Last Name Of The Provider | DELBAKHSH |
| First Name Of The Provider | FARIBORZ |
| 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 | 10770 SE 173RD ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SUMMERFIELD |
| Zip Code Of The Provider | 344916851 |
| 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 | 108 |
| Number Of Services | 17555 |
| Number Of Medicare Beneficiaries | 1299 |
| Total Submitted Charge Amount | 5419370.36 |
| Total Medicare Allowed Amount | 1911920.77 |
| Total Medicare Payment Amount | 1464765.55 |
| Total Medicare Standardized Payment Amount | 1485654.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 6039 |
| Number Of Medicare Beneficiaries With Drug Services | 541 |
| Total Drug Submitted ChargeAmount | 100282.94 |
| Total Drug Medicare AllowedAmount | 48290.74 |
| Total Drug Medicare PaymentAmount | 39535.81 |
| Total Drug Medicare Standardized Payment Amount | 39535.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 95 |
| Number Of Medical Services | 11516 |
| Number Of Medicare Beneficiaries With Medical Services | 1299 |
| Total Medical Submitted Charge Amount | 5319087.42 |
| Total Medical Medicare Allowed Amount | 1863630.03 |
| Total Medical Medicare Payment Amount | 1425229.74 |
| Total Medical Medicare Standardized Payment Amount | 1446118.2 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 56 |
| Number Of Beneficiaries Age 65 to 74 | 688 |
| Number Of Beneficiaries Age 75 to 84 | 432 |
| Number Of Beneficiaries Age Greater 84 | 123 |
| Number Of Female Beneficiaries | 719 |
| Number Of Male Beneficiaries | 580 |
| Number Of Non Hispanic White Beneficiaries | 1269 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 13 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1254 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 45 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 69 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1445 |