National Provider Identifier [NPI]: |
1821016288 |
Last Name Of The Provider |
OMARZAI |
First Name Of The Provider |
REZA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4700 PUDDLEDOCK RD |
Street Address 2 Of The Provider |
400 |
City Of The Provider |
PRINCE GEORGE |
Zip Code Of The Provider |
238751268 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5939 |
Number Of Medicare Beneficiaries |
1370 |
Total Submitted Charge Amount |
1831078 |
Total Medicare Allowed Amount |
610762.77 |
Total Medicare Payment Amount |
455656.66 |
Total Medicare Standardized Payment Amount |
470330.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
933 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
102595 |
Total Drug Medicare AllowedAmount |
49372.71 |
Total Drug Medicare PaymentAmount |
38338.64 |
Total Drug Medicare Standardized Payment Amount |
38338.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
5006 |
Number Of Medicare Beneficiaries With Medical Services |
1370 |
Total Medical Submitted Charge Amount |
1728483 |
Total Medical Medicare Allowed Amount |
561390.06 |
Total Medical Medicare Payment Amount |
417318.02 |
Total Medical Medicare Standardized Payment Amount |
431992.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
458 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
746 |
Number Of Male Beneficiaries |
624 |
Number Of Non Hispanic White Beneficiaries |
1061 |
Number Of Black or African American Beneficiaries |
274 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1213 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5235 |