National Provider Identifier [NPI]: |
1952306730 |
Last Name Of The Provider |
BARAKAT |
First Name Of The Provider |
KUSAY |
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 |
CARDIOLOGY CENTER |
Street Address 2 Of The Provider |
310 WEST NINTH STREET |
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217014546 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
8706 |
Number Of Medicare Beneficiaries |
1811 |
Total Submitted Charge Amount |
1146956 |
Total Medicare Allowed Amount |
618320.65 |
Total Medicare Payment Amount |
443603.11 |
Total Medicare Standardized Payment Amount |
441643.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
2640 |
Total Drug Medicare AllowedAmount |
2331.78 |
Total Drug Medicare PaymentAmount |
1350.5 |
Total Drug Medicare Standardized Payment Amount |
1350.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
8662 |
Number Of Medicare Beneficiaries With Medical Services |
1811 |
Total Medical Submitted Charge Amount |
1144316 |
Total Medical Medicare Allowed Amount |
615988.87 |
Total Medical Medicare Payment Amount |
442252.61 |
Total Medical Medicare Standardized Payment Amount |
440293.07 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
681 |
Number Of Beneficiaries Age 75 to 84 |
652 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
939 |
Number Of Male Beneficiaries |
872 |
Number Of Non Hispanic White Beneficiaries |
1680 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1657 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3715 |