National Provider Identifier [NPI]: |
1265545347 |
Last Name Of The Provider |
ALAMMAR |
First Name Of The Provider |
HUSSEIN |
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 |
1760 S 5TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESVILLE |
Zip Code Of The Provider |
714465306 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
9374 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
625592 |
Total Medicare Allowed Amount |
488890.5 |
Total Medicare Payment Amount |
360375.12 |
Total Medicare Standardized Payment Amount |
367867.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
221 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
8840 |
Total Drug Medicare AllowedAmount |
3387.56 |
Total Drug Medicare PaymentAmount |
3274.14 |
Total Drug Medicare Standardized Payment Amount |
3274.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
9153 |
Number Of Medicare Beneficiaries With Medical Services |
574 |
Total Medical Submitted Charge Amount |
616752 |
Total Medical Medicare Allowed Amount |
485502.94 |
Total Medical Medicare Payment Amount |
357100.98 |
Total Medical Medicare Standardized Payment Amount |
364593.66 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
439 |
Number Of Black or African American Beneficiaries |
116 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
243 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7924 |