National Provider Identifier [NPI]: |
1114036878 |
Last Name Of The Provider |
GILANI |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
237 E BALDWIN ROAD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
32405 |
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 |
79 |
Number Of Services |
5913 |
Number Of Medicare Beneficiaries |
614 |
Total Submitted Charge Amount |
583480 |
Total Medicare Allowed Amount |
469564.37 |
Total Medicare Payment Amount |
356315.28 |
Total Medicare Standardized Payment Amount |
359171.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
374 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
15995 |
Total Drug Medicare AllowedAmount |
5881.02 |
Total Drug Medicare PaymentAmount |
5659.55 |
Total Drug Medicare Standardized Payment Amount |
5659.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5539 |
Number Of Medicare Beneficiaries With Medical Services |
614 |
Total Medical Submitted Charge Amount |
567485 |
Total Medical Medicare Allowed Amount |
463683.35 |
Total Medical Medicare Payment Amount |
350655.73 |
Total Medical Medicare Standardized Payment Amount |
353511.46 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
550 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7913 |