National Provider Identifier [NPI]: |
1174594915 |
Last Name Of The Provider |
SOLIMAN |
First Name Of The Provider |
SHERIF |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1340 BELMONT AVE |
Street Address 2 Of The Provider |
SUITE 2300 |
City Of The Provider |
YOUNGSTOWN |
Zip Code Of The Provider |
445041125 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
15545 |
Number Of Medicare Beneficiaries |
696 |
Total Submitted Charge Amount |
2546283.2 |
Total Medicare Allowed Amount |
775197.92 |
Total Medicare Payment Amount |
593271.74 |
Total Medicare Standardized Payment Amount |
637786.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
13158 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
31579.2 |
Total Drug Medicare AllowedAmount |
2495.26 |
Total Drug Medicare PaymentAmount |
1909.94 |
Total Drug Medicare Standardized Payment Amount |
1909.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2387 |
Number Of Medicare Beneficiaries With Medical Services |
696 |
Total Medical Submitted Charge Amount |
2514704 |
Total Medical Medicare Allowed Amount |
772702.66 |
Total Medical Medicare Payment Amount |
591361.8 |
Total Medical Medicare Standardized Payment Amount |
635876.42 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
196 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
193 |
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 |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
5.4819 |