National Provider Identifier [NPI]: |
1598706434 |
Last Name Of The Provider |
HAKIM |
First Name Of The Provider |
CHRISTOPHER |
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 |
329 MCLAWS CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILLIAMSBURG |
Zip Code Of The Provider |
231856337 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
126931.8 |
Number Of Medicare Beneficiaries |
1236 |
Total Submitted Charge Amount |
6109577.7 |
Total Medicare Allowed Amount |
3756209.4 |
Total Medicare Payment Amount |
2891170.02 |
Total Medicare Standardized Payment Amount |
2901978.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
117080.8 |
Number Of Medicare Beneficiaries With Drug Services |
702 |
Total Drug Submitted ChargeAmount |
4638812.7 |
Total Drug Medicare AllowedAmount |
3234638.4 |
Total Drug Medicare PaymentAmount |
2493853.34 |
Total Drug Medicare Standardized Payment Amount |
2493853.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
9851 |
Number Of Medicare Beneficiaries With Medical Services |
1235 |
Total Medical Submitted Charge Amount |
1470765 |
Total Medical Medicare Allowed Amount |
521571 |
Total Medical Medicare Payment Amount |
397316.68 |
Total Medical Medicare Standardized Payment Amount |
408125.23 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
463 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
954 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
1055 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
55 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1606 |