National Provider Identifier [NPI]: |
1538354451 |
Last Name Of The Provider |
EL-HAYEK |
First Name Of The Provider |
JIHAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2551 GREENWOOD RD |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711033981 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
7910 |
Number Of Medicare Beneficiaries |
644 |
Total Submitted Charge Amount |
1425231 |
Total Medicare Allowed Amount |
675734.31 |
Total Medicare Payment Amount |
523529.4 |
Total Medicare Standardized Payment Amount |
560903.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
160 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
3087 |
Total Drug Medicare AllowedAmount |
1556.54 |
Total Drug Medicare PaymentAmount |
1348.33 |
Total Drug Medicare Standardized Payment Amount |
1348.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
7750 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
1422144 |
Total Medical Medicare Allowed Amount |
674177.77 |
Total Medical Medicare Payment Amount |
522181.07 |
Total Medical Medicare Standardized Payment Amount |
559555.02 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
202 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
|
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 |
328 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
66 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.2591 |