National Provider Identifier [NPI]: |
1013975259 |
Last Name Of The Provider |
BARAKAT |
First Name Of The Provider |
SUHEIL |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
915 13TH AVE N |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON |
Zip Code Of The Provider |
527325067 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
329 |
Number Of Services |
43978 |
Number Of Medicare Beneficiaries |
1511 |
Total Submitted Charge Amount |
2685016.96 |
Total Medicare Allowed Amount |
799309.9 |
Total Medicare Payment Amount |
631839.04 |
Total Medicare Standardized Payment Amount |
670552.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
14923 |
Number Of Medicare Beneficiaries With Drug Services |
418 |
Total Drug Submitted ChargeAmount |
357300 |
Total Drug Medicare AllowedAmount |
137510.51 |
Total Drug Medicare PaymentAmount |
109843.6 |
Total Drug Medicare Standardized Payment Amount |
109843.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
281 |
Number Of Medical Services |
29055 |
Number Of Medicare Beneficiaries With Medical Services |
1511 |
Total Medical Submitted Charge Amount |
2327716.96 |
Total Medical Medicare Allowed Amount |
661799.39 |
Total Medical Medicare Payment Amount |
521995.44 |
Total Medical Medicare Standardized Payment Amount |
560709.23 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
577 |
Number Of Beneficiaries Age 75 to 84 |
490 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
905 |
Number Of Male Beneficiaries |
606 |
Number Of Non Hispanic White Beneficiaries |
1467 |
Number Of Black or African American Beneficiaries |
24 |
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 |
1290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
221 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3542 |