National Provider Identifier [NPI]: |
1235330481 |
Last Name Of The Provider |
BABAYAN |
First Name Of The Provider |
ZARUHI |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4211 VAN DYKE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LUTZ |
Zip Code Of The Provider |
335588005 |
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 |
51 |
Number Of Services |
5603 |
Number Of Medicare Beneficiaries |
1682 |
Total Submitted Charge Amount |
1048102 |
Total Medicare Allowed Amount |
252229.86 |
Total Medicare Payment Amount |
189602.55 |
Total Medicare Standardized Payment Amount |
194103.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1849 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
37675 |
Total Drug Medicare AllowedAmount |
13813.3 |
Total Drug Medicare PaymentAmount |
10662.04 |
Total Drug Medicare Standardized Payment Amount |
10662.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3754 |
Number Of Medicare Beneficiaries With Medical Services |
1682 |
Total Medical Submitted Charge Amount |
1010427 |
Total Medical Medicare Allowed Amount |
238416.56 |
Total Medical Medicare Payment Amount |
178940.51 |
Total Medical Medicare Standardized Payment Amount |
183441.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
240 |
Number Of Beneficiaries Age 65 to 74 |
573 |
Number Of Beneficiaries Age 75 to 84 |
571 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
862 |
Number Of Male Beneficiaries |
820 |
Number Of Non Hispanic White Beneficiaries |
1631 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
425 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6916 |