National Provider Identifier [NPI]: |
1093882995 |
Last Name Of The Provider |
ABOSEIF |
First Name Of The Provider |
SHERIF |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 N ROSE AVE |
Street Address 2 Of The Provider |
SUITE 370 |
City Of The Provider |
OXNARD |
Zip Code Of The Provider |
930303790 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
6902 |
Number Of Medicare Beneficiaries |
815 |
Total Submitted Charge Amount |
1804093 |
Total Medicare Allowed Amount |
686661.98 |
Total Medicare Payment Amount |
519063.22 |
Total Medicare Standardized Payment Amount |
472664.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
866 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
23489 |
Total Drug Medicare AllowedAmount |
12090.96 |
Total Drug Medicare PaymentAmount |
9479.36 |
Total Drug Medicare Standardized Payment Amount |
9479.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
6036 |
Number Of Medicare Beneficiaries With Medical Services |
815 |
Total Medical Submitted Charge Amount |
1780604 |
Total Medical Medicare Allowed Amount |
674571.02 |
Total Medical Medicare Payment Amount |
509583.86 |
Total Medical Medicare Standardized Payment Amount |
463185.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
576 |
Number Of Non Hispanic White Beneficiaries |
306 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
395 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
435 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5376 |