National Provider Identifier [NPI]: |
1023234242 |
Last Name Of The Provider |
DAGHER |
First Name Of The Provider |
GEORGE |
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 |
1840 MEASE DR |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
SAFETY HARBOR |
Zip Code Of The Provider |
346956602 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
5062 |
Number Of Medicare Beneficiaries |
1659 |
Total Submitted Charge Amount |
1365848.32 |
Total Medicare Allowed Amount |
465221.11 |
Total Medicare Payment Amount |
357748.72 |
Total Medicare Standardized Payment Amount |
360076.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
242 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
32896.56 |
Total Drug Medicare AllowedAmount |
12553.16 |
Total Drug Medicare PaymentAmount |
9841.57 |
Total Drug Medicare Standardized Payment Amount |
9841.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4820 |
Number Of Medicare Beneficiaries With Medical Services |
1658 |
Total Medical Submitted Charge Amount |
1332951.76 |
Total Medical Medicare Allowed Amount |
452667.95 |
Total Medical Medicare Payment Amount |
347907.15 |
Total Medical Medicare Standardized Payment Amount |
350234.96 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
471 |
Number Of Beneficiaries Age 75 to 84 |
512 |
Number Of Beneficiaries Age Greater 84 |
484 |
Number Of Female Beneficiaries |
926 |
Number Of Male Beneficiaries |
733 |
Number Of Non Hispanic White Beneficiaries |
1561 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
373 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0343 |