National Provider Identifier [NPI]: |
1811997422 |
Last Name Of The Provider |
ALSHEIKH |
First Name Of The Provider |
THABET |
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 |
1717 N E ST |
Street Address 2 Of The Provider |
SUITE 434 |
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325016339 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
8385 |
Number Of Medicare Beneficiaries |
1523 |
Total Submitted Charge Amount |
1404949 |
Total Medicare Allowed Amount |
654098.24 |
Total Medicare Payment Amount |
485435.42 |
Total Medicare Standardized Payment Amount |
481771.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
8385 |
Number Of Medicare Beneficiaries With Medical Services |
1523 |
Total Medical Submitted Charge Amount |
1404949 |
Total Medical Medicare Allowed Amount |
654098.24 |
Total Medical Medicare Payment Amount |
485435.42 |
Total Medical Medicare Standardized Payment Amount |
481771.81 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
423 |
Number Of Beneficiaries Age 75 to 84 |
576 |
Number Of Beneficiaries Age Greater 84 |
397 |
Number Of Female Beneficiaries |
685 |
Number Of Male Beneficiaries |
838 |
Number Of Non Hispanic White Beneficiaries |
1311 |
Number Of Black or African American Beneficiaries |
169 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
223 |
Percent Of With Atrial Fibrillation |
54 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8131 |