National Provider Identifier [NPI]: |
1437189156 |
Last Name Of The Provider |
SORIAL |
First Name Of The Provider |
REDA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E SAMPLE RD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
POMPANO BEACH |
Zip Code Of The Provider |
330644443 |
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 |
58 |
Number Of Services |
774 |
Number Of Medicare Beneficiaries |
225 |
Total Submitted Charge Amount |
361361.89 |
Total Medicare Allowed Amount |
94043.98 |
Total Medicare Payment Amount |
70170.01 |
Total Medicare Standardized Payment Amount |
66912.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
128 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
59983.12 |
Total Drug Medicare AllowedAmount |
16642.59 |
Total Drug Medicare PaymentAmount |
12483.3 |
Total Drug Medicare Standardized Payment Amount |
12483.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
646 |
Number Of Medicare Beneficiaries With Medical Services |
225 |
Total Medical Submitted Charge Amount |
301378.77 |
Total Medical Medicare Allowed Amount |
77401.39 |
Total Medical Medicare Payment Amount |
57686.71 |
Total Medical Medicare Standardized Payment Amount |
54429.4 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
54 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
137 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6273 |