National Provider Identifier [NPI]: |
1891968475 |
Last Name Of The Provider |
YOUNAS |
First Name Of The Provider |
NIZAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
607 TIMBERDALE LN. |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770903043 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
5944 |
Number Of Medicare Beneficiaries |
597 |
Total Submitted Charge Amount |
831715.4 |
Total Medicare Allowed Amount |
329138.96 |
Total Medicare Payment Amount |
246524.19 |
Total Medicare Standardized Payment Amount |
233782.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2931 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
440.4 |
Total Drug Medicare AllowedAmount |
169.36 |
Total Drug Medicare PaymentAmount |
150.77 |
Total Drug Medicare Standardized Payment Amount |
150.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
3013 |
Number Of Medicare Beneficiaries With Medical Services |
597 |
Total Medical Submitted Charge Amount |
831275 |
Total Medical Medicare Allowed Amount |
328969.6 |
Total Medical Medicare Payment Amount |
246373.42 |
Total Medical Medicare Standardized Payment Amount |
233632.06 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
373 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
4.4495 |