National Provider Identifier [NPI]: |
1225214646 |
Last Name Of The Provider |
BARAKAT |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1101 E MISSOURI AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850142709 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
7515 |
Number Of Medicare Beneficiaries |
1194 |
Total Submitted Charge Amount |
1853277.08 |
Total Medicare Allowed Amount |
1479657.38 |
Total Medicare Payment Amount |
1120558.81 |
Total Medicare Standardized Payment Amount |
1123326.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2471 |
Number Of Medicare Beneficiaries With Drug Services |
387 |
Total Drug Submitted ChargeAmount |
1004944.46 |
Total Drug Medicare AllowedAmount |
960949.15 |
Total Drug Medicare PaymentAmount |
750384.32 |
Total Drug Medicare Standardized Payment Amount |
750384.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5044 |
Number Of Medicare Beneficiaries With Medical Services |
1194 |
Total Medical Submitted Charge Amount |
848332.62 |
Total Medical Medicare Allowed Amount |
518708.23 |
Total Medical Medicare Payment Amount |
370174.49 |
Total Medical Medicare Standardized Payment Amount |
372941.85 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
411 |
Number Of Beneficiaries Age 75 to 84 |
467 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
670 |
Number Of Male Beneficiaries |
524 |
Number Of Non Hispanic White Beneficiaries |
1065 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1105 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3818 |