National Provider Identifier [NPI]: |
1265634265 |
Last Name Of The Provider |
BARAKAT |
First Name Of The Provider |
RUCHDI |
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 |
9810 FM 1960 BYPASS RD W |
Street Address 2 Of The Provider |
SUITE 165 |
City Of The Provider |
HUMBLE |
Zip Code Of The Provider |
773383502 |
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 |
41 |
Number Of Services |
26938 |
Number Of Medicare Beneficiaries |
408 |
Total Submitted Charge Amount |
12747235.81 |
Total Medicare Allowed Amount |
2326324.99 |
Total Medicare Payment Amount |
1801997.97 |
Total Medicare Standardized Payment Amount |
1817746.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
24469 |
Number Of Medicare Beneficiaries With Drug Services |
390 |
Total Drug Submitted ChargeAmount |
145041.56 |
Total Drug Medicare AllowedAmount |
9515.88 |
Total Drug Medicare PaymentAmount |
7164.63 |
Total Drug Medicare Standardized Payment Amount |
7164.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2469 |
Number Of Medicare Beneficiaries With Medical Services |
408 |
Total Medical Submitted Charge Amount |
12602194.25 |
Total Medical Medicare Allowed Amount |
2316809.11 |
Total Medical Medicare Payment Amount |
1794833.34 |
Total Medical Medicare Standardized Payment Amount |
1810582.36 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
111 |
Number Of Black or African American Beneficiaries |
213 |
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 |
184 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
8.5412 |