National Provider Identifier [NPI]: |
1770698375 |
Last Name Of The Provider |
ALHAJ |
First Name Of The Provider |
EYAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10304 MEMORY LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
410423630 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
2669 |
Number Of Medicare Beneficiaries |
1002 |
Total Submitted Charge Amount |
207654.18 |
Total Medicare Allowed Amount |
120124.01 |
Total Medicare Payment Amount |
87674.58 |
Total Medicare Standardized Payment Amount |
91750.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
559 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
4327 |
Total Drug Medicare AllowedAmount |
365.54 |
Total Drug Medicare PaymentAmount |
305.65 |
Total Drug Medicare Standardized Payment Amount |
305.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2110 |
Number Of Medicare Beneficiaries With Medical Services |
1002 |
Total Medical Submitted Charge Amount |
203327.18 |
Total Medical Medicare Allowed Amount |
119758.47 |
Total Medical Medicare Payment Amount |
87368.93 |
Total Medical Medicare Standardized Payment Amount |
91444.45 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
241 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
627 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
885 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
473 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4315 |