Medicare Facts for Dr. Mona Soliman, DDS


National Provider Identifier [NPI]: 1013051432
Last Name Of The Provider SOLIMAN
First Name Of The Provider MONA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 11200 GOVERNOR MANLY WAY
Street Address 2 Of The Provider
City Of The Provider RALEIGH
Zip Code Of The Provider 276148599
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 710
Number Of Medicare Beneficiaries 216
Total Submitted Charge Amount 110634
Total Medicare Allowed Amount 49733.17
Total Medicare Payment Amount 34959.2
Total Medicare Standardized Payment Amount 36902.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 93
Number Of Medicare Beneficiaries With Drug Services 49
Total Drug Submitted ChargeAmount 2993
Total Drug Medicare AllowedAmount 1798.67
Total Drug Medicare PaymentAmount 1750.28
Total Drug Medicare Standardized Payment Amount 1750.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 23
Number Of Medical Services 617
Number Of Medicare Beneficiaries With Medical Services 216
Total Medical Submitted Charge Amount 107641
Total Medical Medicare Allowed Amount 47934.5
Total Medical Medicare Payment Amount 33208.92
Total Medical Medicare Standardized Payment Amount 35152.4
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 109
Number Of Beneficiaries Age 75 to 84 60
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 170
Number Of Male Beneficiaries 46
Number Of Non Hispanic White Beneficiaries 183
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 195
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 20
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9146

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