National Provider Identifier [NPI]: |
1982686135 |
Last Name Of The Provider |
BANDEALY |
First Name Of The Provider |
KARAMALI |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D., |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 W OAK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
34741 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
69228 |
Number Of Medicare Beneficiaries |
445 |
Total Submitted Charge Amount |
1505250 |
Total Medicare Allowed Amount |
800367.21 |
Total Medicare Payment Amount |
606412.56 |
Total Medicare Standardized Payment Amount |
611325.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
66307 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
1170275 |
Total Drug Medicare AllowedAmount |
611047.29 |
Total Drug Medicare PaymentAmount |
468087.93 |
Total Drug Medicare Standardized Payment Amount |
468087.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2921 |
Number Of Medicare Beneficiaries With Medical Services |
445 |
Total Medical Submitted Charge Amount |
334975 |
Total Medical Medicare Allowed Amount |
189319.92 |
Total Medical Medicare Payment Amount |
138324.63 |
Total Medical Medicare Standardized Payment Amount |
143237.81 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
164 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3459 |