National Provider Identifier [NPI]: |
1407877509 |
Last Name Of The Provider |
RABIEE |
First Name Of The Provider |
ABDOLREZA |
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 |
989 MEDICAL PARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAYSVILLE |
Zip Code Of The Provider |
410568750 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
3815 |
Number Of Medicare Beneficiaries |
1668 |
Total Submitted Charge Amount |
1112627 |
Total Medicare Allowed Amount |
285065.32 |
Total Medicare Payment Amount |
213403.44 |
Total Medicare Standardized Payment Amount |
225184.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
467 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
3946 |
Total Drug Medicare AllowedAmount |
613.04 |
Total Drug Medicare PaymentAmount |
491.75 |
Total Drug Medicare Standardized Payment Amount |
491.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
3348 |
Number Of Medicare Beneficiaries With Medical Services |
1668 |
Total Medical Submitted Charge Amount |
1108681 |
Total Medical Medicare Allowed Amount |
284452.28 |
Total Medical Medicare Payment Amount |
212911.69 |
Total Medical Medicare Standardized Payment Amount |
224693.08 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
628 |
Number Of Beneficiaries Age 65 to 74 |
553 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
967 |
Number Of Male Beneficiaries |
701 |
Number Of Non Hispanic White Beneficiaries |
1605 |
Number Of Black or African American Beneficiaries |
39 |
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 |
894 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
774 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4925 |