National Provider Identifier [NPI]: |
1851353940 |
Last Name Of The Provider |
ABRAHAMY |
First Name Of The Provider |
RAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7421 N UNIVERSITY DR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
TAMARAC |
Zip Code Of The Provider |
333212977 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
2538 |
Number Of Medicare Beneficiaries |
298 |
Total Submitted Charge Amount |
672404.08 |
Total Medicare Allowed Amount |
210847.31 |
Total Medicare Payment Amount |
159825.62 |
Total Medicare Standardized Payment Amount |
153395.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
85300.6 |
Total Drug Medicare AllowedAmount |
27551.96 |
Total Drug Medicare PaymentAmount |
21462.77 |
Total Drug Medicare Standardized Payment Amount |
21462.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2350 |
Number Of Medicare Beneficiaries With Medical Services |
298 |
Total Medical Submitted Charge Amount |
587103.48 |
Total Medical Medicare Allowed Amount |
183295.35 |
Total Medical Medicare Payment Amount |
138362.85 |
Total Medical Medicare Standardized Payment Amount |
131932.51 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.621 |