National Provider Identifier [NPI]: |
1053361824 |
Last Name Of The Provider |
SALFITY |
First Name Of The Provider |
MARWAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
339 N 78TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681143640 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
8905 |
Number Of Medicare Beneficiaries |
1098 |
Total Submitted Charge Amount |
1683251 |
Total Medicare Allowed Amount |
929363.27 |
Total Medicare Payment Amount |
697842.83 |
Total Medicare Standardized Payment Amount |
747001.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
780 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
57460 |
Total Drug Medicare AllowedAmount |
40520.75 |
Total Drug Medicare PaymentAmount |
31340.39 |
Total Drug Medicare Standardized Payment Amount |
31340.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
8125 |
Number Of Medicare Beneficiaries With Medical Services |
1098 |
Total Medical Submitted Charge Amount |
1625791 |
Total Medical Medicare Allowed Amount |
888842.52 |
Total Medical Medicare Payment Amount |
666502.44 |
Total Medical Medicare Standardized Payment Amount |
715660.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
373 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
540 |
Number Of Non Hispanic White Beneficiaries |
1018 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
958 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5969 |