National Provider Identifier [NPI]: |
1427002971 |
Last Name Of The Provider |
NASRY |
First Name Of The Provider |
SAMER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24230 KARIM BLVD |
Street Address 2 Of The Provider |
SUITE#125 |
City Of The Provider |
NOVI |
Zip Code Of The Provider |
483752960 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
4270 |
Number Of Medicare Beneficiaries |
1852 |
Total Submitted Charge Amount |
491950 |
Total Medicare Allowed Amount |
305628.23 |
Total Medicare Payment Amount |
207077.85 |
Total Medicare Standardized Payment Amount |
201969.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
802 |
Number Of Medicare Beneficiaries With Drug Services |
291 |
Total Drug Submitted ChargeAmount |
28605 |
Total Drug Medicare AllowedAmount |
2371.35 |
Total Drug Medicare PaymentAmount |
1721.41 |
Total Drug Medicare Standardized Payment Amount |
1721.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
3468 |
Number Of Medicare Beneficiaries With Medical Services |
1849 |
Total Medical Submitted Charge Amount |
463345 |
Total Medical Medicare Allowed Amount |
303256.88 |
Total Medical Medicare Payment Amount |
205356.44 |
Total Medical Medicare Standardized Payment Amount |
200248.22 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
661 |
Number Of Beneficiaries Age 65 to 74 |
692 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
1194 |
Number Of Male Beneficiaries |
658 |
Number Of Non Hispanic White Beneficiaries |
1533 |
Number Of Black or African American Beneficiaries |
231 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1308 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
544 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1566 |