National Provider Identifier [NPI]: |
1750341236 |
Last Name Of The Provider |
AFZAL |
First Name Of The Provider |
AJAZ |
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 |
1032 MANN STREET |
Street Address 2 Of The Provider |
OAK MEDICAL PLAZA 1 |
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
34741 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
7693 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
673597.6 |
Total Medicare Allowed Amount |
538432.59 |
Total Medicare Payment Amount |
402521.41 |
Total Medicare Standardized Payment Amount |
403419.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
445 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
7397 |
Total Drug Medicare AllowedAmount |
2033.85 |
Total Drug Medicare PaymentAmount |
1811.31 |
Total Drug Medicare Standardized Payment Amount |
1811.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
7248 |
Number Of Medicare Beneficiaries With Medical Services |
580 |
Total Medical Submitted Charge Amount |
666200.6 |
Total Medical Medicare Allowed Amount |
536398.74 |
Total Medical Medicare Payment Amount |
400710.1 |
Total Medical Medicare Standardized Payment Amount |
401607.81 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
273 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
258 |
Number Of Non Hispanic White Beneficiaries |
235 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
225 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
210 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
370 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2262 |