National Provider Identifier [NPI]: |
1396825253 |
Last Name Of The Provider |
FARAH |
First Name Of The Provider |
VICTOR |
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 |
320 E NORTH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152124756 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
5234 |
Number Of Medicare Beneficiaries |
614 |
Total Submitted Charge Amount |
462126.21 |
Total Medicare Allowed Amount |
154722.98 |
Total Medicare Payment Amount |
119756.43 |
Total Medicare Standardized Payment Amount |
130209.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3967 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
1429.21 |
Total Drug Medicare AllowedAmount |
1033.42 |
Total Drug Medicare PaymentAmount |
808.59 |
Total Drug Medicare Standardized Payment Amount |
808.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
1267 |
Number Of Medicare Beneficiaries With Medical Services |
614 |
Total Medical Submitted Charge Amount |
460697 |
Total Medical Medicare Allowed Amount |
153689.56 |
Total Medical Medicare Payment Amount |
118947.84 |
Total Medical Medicare Standardized Payment Amount |
129401.1 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
517 |
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 |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
272 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9516 |