National Provider Identifier [NPI]: |
1124243563 |
Last Name Of The Provider |
AMINI |
First Name Of The Provider |
KAYVAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 N FLAMINGO RD |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
PEMBROKE PINES |
Zip Code Of The Provider |
330281015 |
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 |
35 |
Number Of Services |
3172 |
Number Of Medicare Beneficiaries |
647 |
Total Submitted Charge Amount |
634934.44 |
Total Medicare Allowed Amount |
401001.63 |
Total Medicare Payment Amount |
311173.66 |
Total Medicare Standardized Payment Amount |
298671.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
214 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
9840 |
Total Drug Medicare AllowedAmount |
7468.47 |
Total Drug Medicare PaymentAmount |
5855.02 |
Total Drug Medicare Standardized Payment Amount |
5855.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2958 |
Number Of Medicare Beneficiaries With Medical Services |
647 |
Total Medical Submitted Charge Amount |
625094.44 |
Total Medical Medicare Allowed Amount |
393533.16 |
Total Medical Medicare Payment Amount |
305318.64 |
Total Medical Medicare Standardized Payment Amount |
292816.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
386 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
258 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
225 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
327 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.6195 |