National Provider Identifier [NPI]: |
1346292414 |
Last Name Of The Provider |
ZAIDI |
First Name Of The Provider |
FARRUKH |
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 |
11315 CORTEZ BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346135407 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
18919 |
Number Of Medicare Beneficiaries |
667 |
Total Submitted Charge Amount |
1130862 |
Total Medicare Allowed Amount |
612288.06 |
Total Medicare Payment Amount |
467898.82 |
Total Medicare Standardized Payment Amount |
468307.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
16397 |
Number Of Medicare Beneficiaries With Drug Services |
303 |
Total Drug Submitted ChargeAmount |
645664 |
Total Drug Medicare AllowedAmount |
375386.42 |
Total Drug Medicare PaymentAmount |
292726.05 |
Total Drug Medicare Standardized Payment Amount |
292726.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2522 |
Number Of Medicare Beneficiaries With Medical Services |
667 |
Total Medical Submitted Charge Amount |
485198 |
Total Medical Medicare Allowed Amount |
236901.64 |
Total Medical Medicare Payment Amount |
175172.77 |
Total Medical Medicare Standardized Payment Amount |
175581.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
619 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
595 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
30 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4357 |