National Provider Identifier [NPI]: |
1851329932 |
Last Name Of The Provider |
YOUNIS |
First Name Of The Provider |
BASIL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4545 FULLER DR |
Street Address 2 Of The Provider |
SUITE 325 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
750386530 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4657 |
Number Of Medicare Beneficiaries |
617 |
Total Submitted Charge Amount |
401110.71 |
Total Medicare Allowed Amount |
340438.5 |
Total Medicare Payment Amount |
255267.31 |
Total Medicare Standardized Payment Amount |
257916.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
269 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
3951.21 |
Total Drug Medicare AllowedAmount |
3136.86 |
Total Drug Medicare PaymentAmount |
3052.96 |
Total Drug Medicare Standardized Payment Amount |
3052.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4388 |
Number Of Medicare Beneficiaries With Medical Services |
617 |
Total Medical Submitted Charge Amount |
397159.5 |
Total Medical Medicare Allowed Amount |
337301.64 |
Total Medical Medicare Payment Amount |
252214.35 |
Total Medical Medicare Standardized Payment Amount |
254863.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
242 |
Number Of Black or African American Beneficiaries |
289 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
409 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0591 |