National Provider Identifier [NPI]: |
1174738033 |
Last Name Of The Provider |
ZEIN |
First Name Of The Provider |
AMINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6245 INKSTER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GARDEN CITY |
Zip Code Of The Provider |
481354001 |
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 |
57 |
Number Of Services |
7993 |
Number Of Medicare Beneficiaries |
1362 |
Total Submitted Charge Amount |
764938 |
Total Medicare Allowed Amount |
514256.24 |
Total Medicare Payment Amount |
378774.11 |
Total Medicare Standardized Payment Amount |
374193.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2262 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
46503 |
Total Drug Medicare AllowedAmount |
16728.36 |
Total Drug Medicare PaymentAmount |
13039.38 |
Total Drug Medicare Standardized Payment Amount |
13039.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5731 |
Number Of Medicare Beneficiaries With Medical Services |
1362 |
Total Medical Submitted Charge Amount |
718435 |
Total Medical Medicare Allowed Amount |
497527.88 |
Total Medical Medicare Payment Amount |
365734.73 |
Total Medical Medicare Standardized Payment Amount |
361153.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
292 |
Number Of Female Beneficiaries |
736 |
Number Of Male Beneficiaries |
626 |
Number Of Non Hispanic White Beneficiaries |
1085 |
Number Of Black or African American Beneficiaries |
216 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1007 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
355 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0697 |