National Provider Identifier [NPI]: |
1003885815 |
Last Name Of The Provider |
FARAG |
First Name Of The Provider |
NAGY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7562 W GULF TO LAKE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRYSTAL RIVER |
Zip Code Of The Provider |
344297840 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
797 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
371526 |
Total Medicare Allowed Amount |
83694.39 |
Total Medicare Payment Amount |
62979.44 |
Total Medicare Standardized Payment Amount |
62107.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
165 |
Total Drug Medicare AllowedAmount |
87.09 |
Total Drug Medicare PaymentAmount |
68.14 |
Total Drug Medicare Standardized Payment Amount |
68.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
732 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
371361 |
Total Medical Medicare Allowed Amount |
83607.3 |
Total Medical Medicare Payment Amount |
62911.3 |
Total Medical Medicare Standardized Payment Amount |
62039.29 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
277 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
356 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6581 |