National Provider Identifier [NPI]: |
1447218201 |
Last Name Of The Provider |
PAYMANI |
First Name Of The Provider |
MAHRAD |
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 |
801 E DIXIE AVE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347487601 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
269 |
Number Of Services |
23570 |
Number Of Medicare Beneficiaries |
1952 |
Total Submitted Charge Amount |
802919 |
Total Medicare Allowed Amount |
351411.83 |
Total Medicare Payment Amount |
267687.82 |
Total Medicare Standardized Payment Amount |
269937.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
20426 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
52000 |
Total Drug Medicare AllowedAmount |
5783.42 |
Total Drug Medicare PaymentAmount |
4514.08 |
Total Drug Medicare Standardized Payment Amount |
4514.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
264 |
Number Of Medical Services |
3144 |
Number Of Medicare Beneficiaries With Medical Services |
1941 |
Total Medical Submitted Charge Amount |
750919 |
Total Medical Medicare Allowed Amount |
345628.41 |
Total Medical Medicare Payment Amount |
263173.74 |
Total Medical Medicare Standardized Payment Amount |
265423.57 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
719 |
Number Of Beneficiaries Age 75 to 84 |
796 |
Number Of Beneficiaries Age Greater 84 |
314 |
Number Of Female Beneficiaries |
919 |
Number Of Male Beneficiaries |
1033 |
Number Of Non Hispanic White Beneficiaries |
1816 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1724 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.929 |