National Provider Identifier [NPI]: |
1902843303 |
Last Name Of The Provider |
ARAB |
First Name Of The Provider |
DINESH |
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 |
305 MEMORIAL MEDICAL PKWY |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321175168 |
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 |
101 |
Number Of Services |
5710 |
Number Of Medicare Beneficiaries |
1684 |
Total Submitted Charge Amount |
1424378.11 |
Total Medicare Allowed Amount |
778632.3 |
Total Medicare Payment Amount |
590936.76 |
Total Medicare Standardized Payment Amount |
593376.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
624 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
93600 |
Total Drug Medicare AllowedAmount |
33036.05 |
Total Drug Medicare PaymentAmount |
25755.13 |
Total Drug Medicare Standardized Payment Amount |
25755.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
5086 |
Number Of Medicare Beneficiaries With Medical Services |
1684 |
Total Medical Submitted Charge Amount |
1330778.11 |
Total Medical Medicare Allowed Amount |
745596.25 |
Total Medical Medicare Payment Amount |
565181.63 |
Total Medical Medicare Standardized Payment Amount |
567621.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
622 |
Number Of Beneficiaries Age 75 to 84 |
584 |
Number Of Beneficiaries Age Greater 84 |
295 |
Number Of Female Beneficiaries |
799 |
Number Of Male Beneficiaries |
885 |
Number Of Non Hispanic White Beneficiaries |
1520 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7955 |