National Provider Identifier [NPI]: |
1124111349 |
Last Name Of The Provider |
SHAARAOUI |
First Name Of The Provider |
MUSTAPHASAHIM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
275 COLLIER RD NW |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303091709 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4748 |
Number Of Medicare Beneficiaries |
1569 |
Total Submitted Charge Amount |
2095982 |
Total Medicare Allowed Amount |
494180.65 |
Total Medicare Payment Amount |
376445.14 |
Total Medicare Standardized Payment Amount |
394363.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
4092 |
Total Drug Medicare AllowedAmount |
2762.16 |
Total Drug Medicare PaymentAmount |
2165.52 |
Total Drug Medicare Standardized Payment Amount |
2165.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4692 |
Number Of Medicare Beneficiaries With Medical Services |
1569 |
Total Medical Submitted Charge Amount |
2091890 |
Total Medical Medicare Allowed Amount |
491418.49 |
Total Medical Medicare Payment Amount |
374279.62 |
Total Medical Medicare Standardized Payment Amount |
392198.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
241 |
Number Of Beneficiaries Age 65 to 74 |
643 |
Number Of Beneficiaries Age 75 to 84 |
468 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
843 |
Number Of Male Beneficiaries |
726 |
Number Of Non Hispanic White Beneficiaries |
1076 |
Number Of Black or African American Beneficiaries |
429 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6991 |