National Provider Identifier [NPI]: |
1407811490 |
Last Name Of The Provider |
HELOU |
First Name Of The Provider |
BESHARA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20930 DUPONT BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
GEORGETOWN |
Zip Code Of The Provider |
199471725 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
12488 |
Number Of Medicare Beneficiaries |
1189 |
Total Submitted Charge Amount |
1043567 |
Total Medicare Allowed Amount |
819521.31 |
Total Medicare Payment Amount |
612407.16 |
Total Medicare Standardized Payment Amount |
605154.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1180 |
Number Of Medicare Beneficiaries With Drug Services |
542 |
Total Drug Submitted ChargeAmount |
21803 |
Total Drug Medicare AllowedAmount |
12567.72 |
Total Drug Medicare PaymentAmount |
11931.04 |
Total Drug Medicare Standardized Payment Amount |
11931.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
11308 |
Number Of Medicare Beneficiaries With Medical Services |
1189 |
Total Medical Submitted Charge Amount |
1021764 |
Total Medical Medicare Allowed Amount |
806953.59 |
Total Medical Medicare Payment Amount |
600476.12 |
Total Medical Medicare Standardized Payment Amount |
593223.72 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
486 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
191 |
Number Of Female Beneficiaries |
682 |
Number Of Male Beneficiaries |
507 |
Number Of Non Hispanic White Beneficiaries |
993 |
Number Of Black or African American Beneficiaries |
176 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
823 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
366 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5431 |