National Provider Identifier [NPI]: |
1720077365 |
Last Name Of The Provider |
AMIN |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
455 PINELLAS ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563354 |
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 |
71 |
Number Of Services |
20769 |
Number Of Medicare Beneficiaries |
2803 |
Total Submitted Charge Amount |
1664919.5 |
Total Medicare Allowed Amount |
783542.78 |
Total Medicare Payment Amount |
594792.22 |
Total Medicare Standardized Payment Amount |
602558.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
13049 |
Number Of Medicare Beneficiaries With Drug Services |
275 |
Total Drug Submitted ChargeAmount |
57999.5 |
Total Drug Medicare AllowedAmount |
25694.41 |
Total Drug Medicare PaymentAmount |
19637.21 |
Total Drug Medicare Standardized Payment Amount |
19637.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
7720 |
Number Of Medicare Beneficiaries With Medical Services |
2803 |
Total Medical Submitted Charge Amount |
1606920 |
Total Medical Medicare Allowed Amount |
757848.37 |
Total Medical Medicare Payment Amount |
575155.01 |
Total Medical Medicare Standardized Payment Amount |
582920.84 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
844 |
Number Of Beneficiaries Age 75 to 84 |
1060 |
Number Of Beneficiaries Age Greater 84 |
702 |
Number Of Female Beneficiaries |
1445 |
Number Of Male Beneficiaries |
1358 |
Number Of Non Hispanic White Beneficiaries |
2606 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
2446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
357 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.7745 |