National Provider Identifier [NPI]: |
1932104023 |
Last Name Of The Provider |
HONAINY |
First Name Of The Provider |
HASSAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
JACKSON RIVER INTERNIST |
Street Address 2 Of The Provider |
1 ARH LANE, STE 300 |
City Of The Provider |
LOW MOOR |
Zip Code Of The Provider |
24457 |
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 |
50 |
Number Of Services |
4725 |
Number Of Medicare Beneficiaries |
1140 |
Total Submitted Charge Amount |
705366 |
Total Medicare Allowed Amount |
340179.05 |
Total Medicare Payment Amount |
250637.95 |
Total Medicare Standardized Payment Amount |
257634.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
658 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
11669 |
Total Drug Medicare AllowedAmount |
6159.36 |
Total Drug Medicare PaymentAmount |
5620.88 |
Total Drug Medicare Standardized Payment Amount |
5620.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4067 |
Number Of Medicare Beneficiaries With Medical Services |
1140 |
Total Medical Submitted Charge Amount |
693697 |
Total Medical Medicare Allowed Amount |
334019.69 |
Total Medical Medicare Payment Amount |
245017.07 |
Total Medical Medicare Standardized Payment Amount |
252013.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
228 |
Number Of Beneficiaries Age 65 to 74 |
403 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
625 |
Number Of Male Beneficiaries |
515 |
Number Of Non Hispanic White Beneficiaries |
1037 |
Number Of Black or African American Beneficiaries |
90 |
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 |
792 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9167 |