National Provider Identifier [NPI]: |
1952350829 |
Last Name Of The Provider |
GABAL-SHEHAB |
First Name Of The Provider |
LAMIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16300 SAND CANYON AVE |
Street Address 2 Of The Provider |
SUITE 405 |
City Of The Provider |
IRVINE |
Zip Code Of The Provider |
926183711 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
9236 |
Number Of Medicare Beneficiaries |
486 |
Total Submitted Charge Amount |
1294809 |
Total Medicare Allowed Amount |
601706.42 |
Total Medicare Payment Amount |
463012.17 |
Total Medicare Standardized Payment Amount |
411283.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2129 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
35575 |
Total Drug Medicare AllowedAmount |
14040.21 |
Total Drug Medicare PaymentAmount |
11002.19 |
Total Drug Medicare Standardized Payment Amount |
11002.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
7107 |
Number Of Medicare Beneficiaries With Medical Services |
486 |
Total Medical Submitted Charge Amount |
1259234 |
Total Medical Medicare Allowed Amount |
587666.21 |
Total Medical Medicare Payment Amount |
452009.98 |
Total Medical Medicare Standardized Payment Amount |
400281.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
365 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
407 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
448 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0932 |