National Provider Identifier [NPI]: |
1205936770 |
Last Name Of The Provider |
WASSEF |
First Name Of The Provider |
YOUSSEF |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D., M.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6801 NW 9TH BLVD |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054269 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
6296 |
Number Of Medicare Beneficiaries |
255 |
Total Submitted Charge Amount |
588564 |
Total Medicare Allowed Amount |
296363.65 |
Total Medicare Payment Amount |
225375.92 |
Total Medicare Standardized Payment Amount |
226886.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2606 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
45244 |
Total Drug Medicare AllowedAmount |
22403.65 |
Total Drug Medicare PaymentAmount |
17528.63 |
Total Drug Medicare Standardized Payment Amount |
17528.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
3690 |
Number Of Medicare Beneficiaries With Medical Services |
255 |
Total Medical Submitted Charge Amount |
543320 |
Total Medical Medicare Allowed Amount |
273960 |
Total Medical Medicare Payment Amount |
207847.29 |
Total Medical Medicare Standardized Payment Amount |
209357.46 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
148 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
202 |
Number Of Black or African American Beneficiaries |
|
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 |
126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9646 |