National Provider Identifier [NPI]: |
1538256953 |
Last Name Of The Provider |
NASIR |
First Name Of The Provider |
SHAZIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 HOSPITAL VIEW WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLERMONT |
Zip Code Of The Provider |
347111926 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6283 |
Number Of Medicare Beneficiaries |
723 |
Total Submitted Charge Amount |
923617.96 |
Total Medicare Allowed Amount |
452521.29 |
Total Medicare Payment Amount |
343687.44 |
Total Medicare Standardized Payment Amount |
345044.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
395 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
7927 |
Total Drug Medicare AllowedAmount |
3864.81 |
Total Drug Medicare PaymentAmount |
3744.85 |
Total Drug Medicare Standardized Payment Amount |
3744.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
5888 |
Number Of Medicare Beneficiaries With Medical Services |
723 |
Total Medical Submitted Charge Amount |
915690.96 |
Total Medical Medicare Allowed Amount |
448656.48 |
Total Medical Medicare Payment Amount |
339942.59 |
Total Medical Medicare Standardized Payment Amount |
341299.61 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
605 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2141 |