National Provider Identifier [NPI]: |
1255637146 |
Last Name Of The Provider |
RIZKALA |
First Name Of The Provider |
EMAD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23 KILMER DR |
Street Address 2 Of The Provider |
BUILDING 1, SUITE C |
City Of The Provider |
MORGANVILLE |
Zip Code Of The Provider |
077511563 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
2916 |
Number Of Medicare Beneficiaries |
510 |
Total Submitted Charge Amount |
743443.91 |
Total Medicare Allowed Amount |
167852.76 |
Total Medicare Payment Amount |
128118.77 |
Total Medicare Standardized Payment Amount |
119987.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1362 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
6616.18 |
Total Drug Medicare AllowedAmount |
2170.16 |
Total Drug Medicare PaymentAmount |
1704.8 |
Total Drug Medicare Standardized Payment Amount |
1704.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
1554 |
Number Of Medicare Beneficiaries With Medical Services |
510 |
Total Medical Submitted Charge Amount |
736827.73 |
Total Medical Medicare Allowed Amount |
165682.6 |
Total Medical Medicare Payment Amount |
126413.97 |
Total Medical Medicare Standardized Payment Amount |
118282.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
317 |
Number Of Non Hispanic White Beneficiaries |
431 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6953 |