National Provider Identifier [NPI]: |
1992767578 |
Last Name Of The Provider |
HALABI |
First Name Of The Provider |
ABDUL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
42557 WOODWARD AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BLOOMFIELD HILLS |
Zip Code Of The Provider |
483045206 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
5339 |
Number Of Medicare Beneficiaries |
1643 |
Total Submitted Charge Amount |
1065877 |
Total Medicare Allowed Amount |
642044.86 |
Total Medicare Payment Amount |
489197.2 |
Total Medicare Standardized Payment Amount |
477917.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
353 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
20405 |
Total Drug Medicare AllowedAmount |
17639.14 |
Total Drug Medicare PaymentAmount |
13829.08 |
Total Drug Medicare Standardized Payment Amount |
13829.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
4986 |
Number Of Medicare Beneficiaries With Medical Services |
1643 |
Total Medical Submitted Charge Amount |
1045472 |
Total Medical Medicare Allowed Amount |
624405.72 |
Total Medical Medicare Payment Amount |
475368.12 |
Total Medical Medicare Standardized Payment Amount |
464087.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
202 |
Number Of Beneficiaries Age 65 to 74 |
581 |
Number Of Beneficiaries Age 75 to 84 |
561 |
Number Of Beneficiaries Age Greater 84 |
299 |
Number Of Female Beneficiaries |
856 |
Number Of Male Beneficiaries |
787 |
Number Of Non Hispanic White Beneficiaries |
1318 |
Number Of Black or African American Beneficiaries |
242 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1344 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0316 |