| National Provider Identifier [NPI]: | 1376594069 |
| Last Name Of The Provider | HUSSAMY |
| First Name Of The Provider | OMAR |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 845 37TH PL |
| Street Address 2 Of The Provider | |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329606564 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Orthopedic Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 208 |
| Number Of Services | 16597 |
| Number Of Medicare Beneficiaries | 1934 |
| Total Submitted Charge Amount | 5893062.4 |
| Total Medicare Allowed Amount | 1609274.87 |
| Total Medicare Payment Amount | 1235435.37 |
| Total Medicare Standardized Payment Amount | 1153610.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4408 |
| Number Of Medicare Beneficiaries With Drug Services | 777 |
| Total Drug Submitted ChargeAmount | 113080 |
| Total Drug Medicare AllowedAmount | 71605.99 |
| Total Drug Medicare PaymentAmount | 55110.08 |
| Total Drug Medicare Standardized Payment Amount | 55110.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 206 |
| Number Of Medical Services | 12189 |
| Number Of Medicare Beneficiaries With Medical Services | 1933 |
| Total Medical Submitted Charge Amount | 5779982.4 |
| Total Medical Medicare Allowed Amount | 1537668.88 |
| Total Medical Medicare Payment Amount | 1180325.29 |
| Total Medical Medicare Standardized Payment Amount | 1098500.17 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 79 |
| Number Of Beneficiaries Age 65 to 74 | 770 |
| Number Of Beneficiaries Age 75 to 84 | 748 |
| Number Of Beneficiaries Age Greater 84 | 337 |
| Number Of Female Beneficiaries | 1140 |
| Number Of Male Beneficiaries | 794 |
| Number Of Non Hispanic White Beneficiaries | 1849 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1874 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 60 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0757 |