National Provider Identifier [NPI]: |
1710966791 |
Last Name Of The Provider |
SABA |
First Name Of The Provider |
NAJIB |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5000 W OAKLAND PARK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FT LAUDERDALE |
Zip Code Of The Provider |
33313 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1879 |
Number Of Medicare Beneficiaries |
392 |
Total Submitted Charge Amount |
1072465.19 |
Total Medicare Allowed Amount |
489471.86 |
Total Medicare Payment Amount |
383632.08 |
Total Medicare Standardized Payment Amount |
381361.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
400 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
12881.76 |
Total Drug Medicare AllowedAmount |
11944.53 |
Total Drug Medicare PaymentAmount |
9364.39 |
Total Drug Medicare Standardized Payment Amount |
9364.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
1479 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
1059583.43 |
Total Medical Medicare Allowed Amount |
477527.33 |
Total Medical Medicare Payment Amount |
374267.69 |
Total Medical Medicare Standardized Payment Amount |
371997.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
242 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
32 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7281 |