National Provider Identifier [NPI]: |
1063512473 |
Last Name Of The Provider |
EL-BIALY |
First Name Of The Provider |
ADEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15243 VAN OWEN STREET |
Street Address 2 Of The Provider |
SUITE # 301 |
City Of The Provider |
VAN NUYS |
Zip Code Of The Provider |
914053605 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
2510 |
Number Of Medicare Beneficiaries |
748 |
Total Submitted Charge Amount |
803795 |
Total Medicare Allowed Amount |
322982.73 |
Total Medicare Payment Amount |
245527.4 |
Total Medicare Standardized Payment Amount |
233784.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
190 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
5150 |
Total Drug Medicare AllowedAmount |
3542.7 |
Total Drug Medicare PaymentAmount |
2606.62 |
Total Drug Medicare Standardized Payment Amount |
2606.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2320 |
Number Of Medicare Beneficiaries With Medical Services |
748 |
Total Medical Submitted Charge Amount |
798645 |
Total Medical Medicare Allowed Amount |
319440.03 |
Total Medical Medicare Payment Amount |
242920.78 |
Total Medical Medicare Standardized Payment Amount |
231178.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
401 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
68 |
Number Of Hispanic Beneficiaries |
228 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
369 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
379 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.7197 |