National Provider Identifier [NPI]: |
1265638811 |
Last Name Of The Provider |
HOURANI |
First Name Of The Provider |
RAYAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 S PIERCE ST |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
EL CAJON |
Zip Code Of The Provider |
920204124 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
2919 |
Number Of Medicare Beneficiaries |
1293 |
Total Submitted Charge Amount |
551163.23 |
Total Medicare Allowed Amount |
257223.59 |
Total Medicare Payment Amount |
193911.66 |
Total Medicare Standardized Payment Amount |
189504.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
169 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
3873 |
Total Drug Medicare AllowedAmount |
2951.76 |
Total Drug Medicare PaymentAmount |
2310.26 |
Total Drug Medicare Standardized Payment Amount |
2310.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2750 |
Number Of Medicare Beneficiaries With Medical Services |
1293 |
Total Medical Submitted Charge Amount |
547290.23 |
Total Medical Medicare Allowed Amount |
254271.83 |
Total Medical Medicare Payment Amount |
191601.4 |
Total Medical Medicare Standardized Payment Amount |
187194.41 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
414 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
744 |
Number Of Male Beneficiaries |
549 |
Number Of Non Hispanic White Beneficiaries |
1086 |
Number Of Black or African American Beneficiaries |
132 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
957 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
336 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3432 |