National Provider Identifier [NPI]: |
1538359104 |
Last Name Of The Provider |
TARABEIN |
First Name Of The Provider |
RASSAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27535 US HIGHWAY 98 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DAPHNE |
Zip Code Of The Provider |
365264839 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
11524 |
Number Of Medicare Beneficiaries |
288 |
Total Submitted Charge Amount |
1616669 |
Total Medicare Allowed Amount |
998857.58 |
Total Medicare Payment Amount |
762429.56 |
Total Medicare Standardized Payment Amount |
666215.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
5533 |
Number Of Medicare Beneficiaries With Drug Services |
229 |
Total Drug Submitted ChargeAmount |
78004 |
Total Drug Medicare AllowedAmount |
28235.71 |
Total Drug Medicare PaymentAmount |
21868.77 |
Total Drug Medicare Standardized Payment Amount |
21868.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5991 |
Number Of Medicare Beneficiaries With Medical Services |
288 |
Total Medical Submitted Charge Amount |
1538665 |
Total Medical Medicare Allowed Amount |
970621.87 |
Total Medical Medicare Payment Amount |
740560.79 |
Total Medical Medicare Standardized Payment Amount |
644346.41 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2205 |