National Provider Identifier [NPI]: |
1730176348 |
Last Name Of The Provider |
NABIZADEH |
First Name Of The Provider |
ARASTOO |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6816 SOUTHPOINT PKWY STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322161701 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
16702 |
Number Of Medicare Beneficiaries |
288 |
Total Submitted Charge Amount |
1000496 |
Total Medicare Allowed Amount |
500827.14 |
Total Medicare Payment Amount |
371514.19 |
Total Medicare Standardized Payment Amount |
361598.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
12762 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
74935 |
Total Drug Medicare AllowedAmount |
48646.07 |
Total Drug Medicare PaymentAmount |
34212.35 |
Total Drug Medicare Standardized Payment Amount |
34212.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3940 |
Number Of Medicare Beneficiaries With Medical Services |
288 |
Total Medical Submitted Charge Amount |
925561 |
Total Medical Medicare Allowed Amount |
452181.07 |
Total Medical Medicare Payment Amount |
337301.84 |
Total Medical Medicare Standardized Payment Amount |
327386.32 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
55 |
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 |
200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.8863 |