National Provider Identifier [NPI]: |
1083605190 |
Last Name Of The Provider |
HAGGAG |
First Name Of The Provider |
AKRAM |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2506 DANVILLE RD SW |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
356034232 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
6121 |
Number Of Medicare Beneficiaries |
1169 |
Total Submitted Charge Amount |
453048.33 |
Total Medicare Allowed Amount |
340278.26 |
Total Medicare Payment Amount |
242041.59 |
Total Medicare Standardized Payment Amount |
265321.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1742 |
Number Of Medicare Beneficiaries With Drug Services |
250 |
Total Drug Submitted ChargeAmount |
32580 |
Total Drug Medicare AllowedAmount |
5891.26 |
Total Drug Medicare PaymentAmount |
5321.84 |
Total Drug Medicare Standardized Payment Amount |
5321.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4379 |
Number Of Medicare Beneficiaries With Medical Services |
1169 |
Total Medical Submitted Charge Amount |
420468.33 |
Total Medical Medicare Allowed Amount |
334387 |
Total Medical Medicare Payment Amount |
236719.75 |
Total Medical Medicare Standardized Payment Amount |
259999.72 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
332 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
725 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
951 |
Number Of Black or African American Beneficiaries |
196 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
839 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
330 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4707 |