National Provider Identifier [NPI]: |
1992782577 |
Last Name Of The Provider |
MARJIEH |
First Name Of The Provider |
ZIAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 NEBRASKA AVE |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
FORT PIERCE |
Zip Code Of The Provider |
349504704 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
11718 |
Number Of Medicare Beneficiaries |
2566 |
Total Submitted Charge Amount |
1577611 |
Total Medicare Allowed Amount |
891724.17 |
Total Medicare Payment Amount |
684313.13 |
Total Medicare Standardized Payment Amount |
655512.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
439 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
5693 |
Total Drug Medicare AllowedAmount |
629.79 |
Total Drug Medicare PaymentAmount |
491.2 |
Total Drug Medicare Standardized Payment Amount |
491.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
11279 |
Number Of Medicare Beneficiaries With Medical Services |
2566 |
Total Medical Submitted Charge Amount |
1571918 |
Total Medical Medicare Allowed Amount |
891094.38 |
Total Medical Medicare Payment Amount |
683821.93 |
Total Medical Medicare Standardized Payment Amount |
655021.22 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
425 |
Number Of Beneficiaries Age 65 to 74 |
725 |
Number Of Beneficiaries Age 75 to 84 |
819 |
Number Of Beneficiaries Age Greater 84 |
597 |
Number Of Female Beneficiaries |
1356 |
Number Of Male Beneficiaries |
1210 |
Number Of Non Hispanic White Beneficiaries |
2085 |
Number Of Black or African American Beneficiaries |
298 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1892 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
674 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.009 |