National Provider Identifier [NPI]: |
1508964065 |
Last Name Of The Provider |
ZABIH |
First Name Of The Provider |
ISMAIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11111 PANAMA CITY BEACH PKWY |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
PANAMA CITY BEACH |
Zip Code Of The Provider |
324072448 |
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 |
44 |
Number Of Services |
6414 |
Number Of Medicare Beneficiaries |
946 |
Total Submitted Charge Amount |
1274558.35 |
Total Medicare Allowed Amount |
557487.36 |
Total Medicare Payment Amount |
410813.43 |
Total Medicare Standardized Payment Amount |
415909.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
419 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
3752.01 |
Total Drug Medicare AllowedAmount |
1340.25 |
Total Drug Medicare PaymentAmount |
1271.93 |
Total Drug Medicare Standardized Payment Amount |
1271.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5995 |
Number Of Medicare Beneficiaries With Medical Services |
946 |
Total Medical Submitted Charge Amount |
1270806.34 |
Total Medical Medicare Allowed Amount |
556147.11 |
Total Medical Medicare Payment Amount |
409541.5 |
Total Medical Medicare Standardized Payment Amount |
414637.45 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
369 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
517 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
882 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
631 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4448 |