National Provider Identifier [NPI]: |
1366477440 |
Last Name Of The Provider |
VAFAI |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5035 VIA DELRAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334841315 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
4897 |
Number Of Medicare Beneficiaries |
1033 |
Total Submitted Charge Amount |
974942.24 |
Total Medicare Allowed Amount |
399047.61 |
Total Medicare Payment Amount |
301125.5 |
Total Medicare Standardized Payment Amount |
288606.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
12289 |
Total Drug Medicare AllowedAmount |
5083.59 |
Total Drug Medicare PaymentAmount |
3985.51 |
Total Drug Medicare Standardized Payment Amount |
3985.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4800 |
Number Of Medicare Beneficiaries With Medical Services |
1033 |
Total Medical Submitted Charge Amount |
962653.24 |
Total Medical Medicare Allowed Amount |
393964.02 |
Total Medical Medicare Payment Amount |
297139.99 |
Total Medical Medicare Standardized Payment Amount |
284620.65 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
354 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
1000 |
Number Of Black or African American Beneficiaries |
13 |
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 |
994 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
42 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9539 |