National Provider Identifier [NPI]: |
1376540401 |
Last Name Of The Provider |
NAOUM |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
133 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNT CLEMENS |
Zip Code Of The Provider |
480432308 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
9716 |
Number Of Medicare Beneficiaries |
1138 |
Total Submitted Charge Amount |
1009345 |
Total Medicare Allowed Amount |
624716.28 |
Total Medicare Payment Amount |
477621.44 |
Total Medicare Standardized Payment Amount |
470808.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
972 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
16827 |
Total Drug Medicare AllowedAmount |
10689.16 |
Total Drug Medicare PaymentAmount |
8443.68 |
Total Drug Medicare Standardized Payment Amount |
8443.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
8744 |
Number Of Medicare Beneficiaries With Medical Services |
1138 |
Total Medical Submitted Charge Amount |
992518 |
Total Medical Medicare Allowed Amount |
614027.12 |
Total Medical Medicare Payment Amount |
469177.76 |
Total Medical Medicare Standardized Payment Amount |
462364.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
364 |
Number Of Beneficiaries Age 75 to 84 |
434 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
523 |
Number Of Non Hispanic White Beneficiaries |
1072 |
Number Of Black or African American Beneficiaries |
43 |
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 |
1039 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7671 |