National Provider Identifier [NPI]: |
1639284672 |
Last Name Of The Provider |
HAMMOUD |
First Name Of The Provider |
JAMAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5040 VILLA LINDE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485323445 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
24069 |
Number Of Medicare Beneficiaries |
1594 |
Total Submitted Charge Amount |
1144822 |
Total Medicare Allowed Amount |
742910.89 |
Total Medicare Payment Amount |
587139.89 |
Total Medicare Standardized Payment Amount |
604369.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
9599 |
Number Of Medicare Beneficiaries With Drug Services |
337 |
Total Drug Submitted ChargeAmount |
166030 |
Total Drug Medicare AllowedAmount |
136834.5 |
Total Drug Medicare PaymentAmount |
107110.05 |
Total Drug Medicare Standardized Payment Amount |
107110.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
14470 |
Number Of Medicare Beneficiaries With Medical Services |
1593 |
Total Medical Submitted Charge Amount |
978792 |
Total Medical Medicare Allowed Amount |
606076.39 |
Total Medical Medicare Payment Amount |
480029.84 |
Total Medical Medicare Standardized Payment Amount |
497259.73 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
469 |
Number Of Beneficiaries Age 65 to 74 |
582 |
Number Of Beneficiaries Age 75 to 84 |
407 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
1020 |
Number Of Male Beneficiaries |
574 |
Number Of Non Hispanic White Beneficiaries |
1226 |
Number Of Black or African American Beneficiaries |
313 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1165 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
429 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9492 |