National Provider Identifier [NPI]: |
1770575441 |
Last Name Of The Provider |
GUVEN |
First Name Of The Provider |
HASAN |
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 |
2700 10TH AVE S |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051200 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
3073 |
Number Of Medicare Beneficiaries |
873 |
Total Submitted Charge Amount |
533228.3 |
Total Medicare Allowed Amount |
336584.97 |
Total Medicare Payment Amount |
255119.58 |
Total Medicare Standardized Payment Amount |
262903.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
259 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
16134.3 |
Total Drug Medicare AllowedAmount |
13400.16 |
Total Drug Medicare PaymentAmount |
10216.85 |
Total Drug Medicare Standardized Payment Amount |
10216.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2814 |
Number Of Medicare Beneficiaries With Medical Services |
873 |
Total Medical Submitted Charge Amount |
517094 |
Total Medical Medicare Allowed Amount |
323184.81 |
Total Medical Medicare Payment Amount |
244902.73 |
Total Medical Medicare Standardized Payment Amount |
252686.78 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
467 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
746 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
769 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6637 |