Medicare Facts for Dr. Ireny I. Ibrahim, MD


National Provider Identifier [NPI]: 1811944598
Last Name Of The Provider IBRAHIM
First Name Of The Provider IRENY
Middle Initial Of The Provider I
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1300 E COOLEY DR
Street Address 2 Of The Provider
City Of The Provider COLTON
Zip Code Of The Provider 923243905
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 137
Number Of Medicare Beneficiaries 35
Total Submitted Charge Amount 8888.86
Total Medicare Allowed Amount 8887.86
Total Medicare Payment Amount 6235.13
Total Medicare Standardized Payment Amount 6046.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 18
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 190.58
Total Drug Medicare AllowedAmount 190.25
Total Drug Medicare PaymentAmount 184.02
Total Drug Medicare Standardized Payment Amount 184.02
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 11
Number Of Medical Services 119
Number Of Medicare Beneficiaries With Medical Services 35
Total Medical Submitted Charge Amount 8698.28
Total Medical Medicare Allowed Amount 8697.61
Total Medical Medicare Payment Amount 6051.11
Total Medical Medicare Standardized Payment Amount 5862.85
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 17
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 17
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.9359

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