National Provider Identifier [NPI]: |
1568411403 |
Last Name Of The Provider |
RIZK |
First Name Of The Provider |
ANTOINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1720A MEDICAL PARK DR |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
BILOXI |
Zip Code Of The Provider |
395322129 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
7697 |
Number Of Medicare Beneficiaries |
1732 |
Total Submitted Charge Amount |
2350083.1 |
Total Medicare Allowed Amount |
595402.66 |
Total Medicare Payment Amount |
441067.02 |
Total Medicare Standardized Payment Amount |
482649.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
262 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
22790 |
Total Drug Medicare AllowedAmount |
13799.87 |
Total Drug Medicare PaymentAmount |
10686.77 |
Total Drug Medicare Standardized Payment Amount |
10686.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
7435 |
Number Of Medicare Beneficiaries With Medical Services |
1732 |
Total Medical Submitted Charge Amount |
2327293.1 |
Total Medical Medicare Allowed Amount |
581602.79 |
Total Medical Medicare Payment Amount |
430380.25 |
Total Medical Medicare Standardized Payment Amount |
471962.29 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
283 |
Number Of Beneficiaries Age 65 to 74 |
634 |
Number Of Beneficiaries Age 75 to 84 |
576 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
921 |
Number Of Male Beneficiaries |
811 |
Number Of Non Hispanic White Beneficiaries |
1430 |
Number Of Black or African American Beneficiaries |
251 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1316 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
416 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6794 |