National Provider Identifier [NPI]: |
1962587014 |
Last Name Of The Provider |
OZA |
First Name Of The Provider |
SAUMIL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1824 KING STREET |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044736 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
4635 |
Number Of Medicare Beneficiaries |
1370 |
Total Submitted Charge Amount |
1814174 |
Total Medicare Allowed Amount |
597681.33 |
Total Medicare Payment Amount |
449491.17 |
Total Medicare Standardized Payment Amount |
448848.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
4635 |
Number Of Medicare Beneficiaries With Medical Services |
1370 |
Total Medical Submitted Charge Amount |
1814174 |
Total Medical Medicare Allowed Amount |
597681.33 |
Total Medical Medicare Payment Amount |
449491.17 |
Total Medical Medicare Standardized Payment Amount |
448848.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
494 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
245 |
Number Of Female Beneficiaries |
637 |
Number Of Male Beneficiaries |
733 |
Number Of Non Hispanic White Beneficiaries |
1155 |
Number Of Black or African American Beneficiaries |
153 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
221 |
Percent Of With Atrial Fibrillation |
61 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8816 |