National Provider Identifier [NPI]: |
1700886934 |
Last Name Of The Provider |
HAMZEH |
First Name Of The Provider |
IHAB |
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 |
6620 MAIN ST |
Street Address 2 Of The Provider |
STE. 1225 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302348 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2666 |
Number Of Medicare Beneficiaries |
1582 |
Total Submitted Charge Amount |
404514.75 |
Total Medicare Allowed Amount |
160004.91 |
Total Medicare Payment Amount |
120371.91 |
Total Medicare Standardized Payment Amount |
121057.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
172 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
18176.37 |
Total Drug Medicare AllowedAmount |
8965.83 |
Total Drug Medicare PaymentAmount |
7035.64 |
Total Drug Medicare Standardized Payment Amount |
7035.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2494 |
Number Of Medicare Beneficiaries With Medical Services |
1582 |
Total Medical Submitted Charge Amount |
386338.38 |
Total Medical Medicare Allowed Amount |
151039.08 |
Total Medical Medicare Payment Amount |
113336.27 |
Total Medical Medicare Standardized Payment Amount |
114022.16 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
375 |
Number Of Beneficiaries Age 65 to 74 |
645 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
778 |
Number Of Male Beneficiaries |
804 |
Number Of Non Hispanic White Beneficiaries |
830 |
Number Of Black or African American Beneficiaries |
508 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
197 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1121 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
461 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3173 |