National Provider Identifier [NPI]: |
1760590640 |
Last Name Of The Provider |
RAFI |
First Name Of The Provider |
ARIF |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 STOOPS DRIVE |
Street Address 2 Of The Provider |
SUITE 240 SPARTAN SURGERY CENTER |
City Of The Provider |
MONONGAHELA |
Zip Code Of The Provider |
15063 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1989 |
Number Of Medicare Beneficiaries |
130 |
Total Submitted Charge Amount |
594910 |
Total Medicare Allowed Amount |
187761.69 |
Total Medicare Payment Amount |
141233.99 |
Total Medicare Standardized Payment Amount |
134673.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
209 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
9960 |
Total Drug Medicare AllowedAmount |
1006.72 |
Total Drug Medicare PaymentAmount |
750.59 |
Total Drug Medicare Standardized Payment Amount |
750.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1780 |
Number Of Medicare Beneficiaries With Medical Services |
130 |
Total Medical Submitted Charge Amount |
584950 |
Total Medical Medicare Allowed Amount |
186754.97 |
Total Medical Medicare Payment Amount |
140483.4 |
Total Medical Medicare Standardized Payment Amount |
133922.44 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
13 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
62 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
46 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
12 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2695 |