National Provider Identifier [NPI]: |
1619961000 |
Last Name Of The Provider |
KAMAL |
First Name Of The Provider |
SAKINA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4401 WATERMELON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHPORT |
Zip Code Of The Provider |
354735197 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
10984 |
Number Of Medicare Beneficiaries |
2917 |
Total Submitted Charge Amount |
1812806.5 |
Total Medicare Allowed Amount |
804339.26 |
Total Medicare Payment Amount |
605052.83 |
Total Medicare Standardized Payment Amount |
649726.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
361 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
2279 |
Total Drug Medicare AllowedAmount |
909.88 |
Total Drug Medicare PaymentAmount |
720.47 |
Total Drug Medicare Standardized Payment Amount |
720.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
10623 |
Number Of Medicare Beneficiaries With Medical Services |
2916 |
Total Medical Submitted Charge Amount |
1810527.5 |
Total Medical Medicare Allowed Amount |
803429.38 |
Total Medical Medicare Payment Amount |
604332.36 |
Total Medical Medicare Standardized Payment Amount |
649005.99 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
772 |
Number Of Beneficiaries Age 65 to 74 |
980 |
Number Of Beneficiaries Age 75 to 84 |
792 |
Number Of Beneficiaries Age Greater 84 |
373 |
Number Of Female Beneficiaries |
1651 |
Number Of Male Beneficiaries |
1266 |
Number Of Non Hispanic White Beneficiaries |
1892 |
Number Of Black or African American Beneficiaries |
993 |
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 |
2036 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
881 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6993 |