National Provider Identifier [NPI]: |
1912942582 |
Last Name Of The Provider |
ALZOHAILI |
First Name Of The Provider |
OPADA |
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 |
1331 MONROE ST STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481242888 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
11362 |
Number Of Medicare Beneficiaries |
904 |
Total Submitted Charge Amount |
885694.23 |
Total Medicare Allowed Amount |
488522.54 |
Total Medicare Payment Amount |
366217.38 |
Total Medicare Standardized Payment Amount |
360411.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
6393 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
295645 |
Total Drug Medicare AllowedAmount |
90268.69 |
Total Drug Medicare PaymentAmount |
70649.18 |
Total Drug Medicare Standardized Payment Amount |
70649.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4969 |
Number Of Medicare Beneficiaries With Medical Services |
904 |
Total Medical Submitted Charge Amount |
590049.23 |
Total Medical Medicare Allowed Amount |
398253.85 |
Total Medical Medicare Payment Amount |
295568.2 |
Total Medical Medicare Standardized Payment Amount |
289762.52 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
332 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
536 |
Number Of Black or African American Beneficiaries |
229 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
72 |
Number Of Beneficiaries With Medicare Only Entitlement |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
494 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7138 |