National Provider Identifier [NPI]: |
1538104161 |
Last Name Of The Provider |
BADAWY |
First Name Of The Provider |
AMR |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7364 STONEROCK CIR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328198000 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
952 |
Number Of Medicare Beneficiaries |
174 |
Total Submitted Charge Amount |
415005 |
Total Medicare Allowed Amount |
94549.35 |
Total Medicare Payment Amount |
73834.09 |
Total Medicare Standardized Payment Amount |
70299.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
282 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
3026 |
Total Drug Medicare AllowedAmount |
1069.14 |
Total Drug Medicare PaymentAmount |
838.51 |
Total Drug Medicare Standardized Payment Amount |
838.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
670 |
Number Of Medicare Beneficiaries With Medical Services |
174 |
Total Medical Submitted Charge Amount |
411979 |
Total Medical Medicare Allowed Amount |
93480.21 |
Total Medical Medicare Payment Amount |
72995.58 |
Total Medical Medicare Standardized Payment Amount |
69460.52 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
71 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
119 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
129 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.322 |