National Provider Identifier [NPI]: |
1811958689 |
Last Name Of The Provider |
ABDULNABI |
First Name Of The Provider |
YOUSEF |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10012 KENNERLY RD |
Street Address 2 Of The Provider |
SUITE #301 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
63128 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
11129 |
Number Of Medicare Beneficiaries |
1752 |
Total Submitted Charge Amount |
1541513.21 |
Total Medicare Allowed Amount |
515461.22 |
Total Medicare Payment Amount |
398357.82 |
Total Medicare Standardized Payment Amount |
402469.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7062 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
28963.75 |
Total Drug Medicare AllowedAmount |
7310.16 |
Total Drug Medicare PaymentAmount |
5716.9 |
Total Drug Medicare Standardized Payment Amount |
5716.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
4067 |
Number Of Medicare Beneficiaries With Medical Services |
1752 |
Total Medical Submitted Charge Amount |
1512549.46 |
Total Medical Medicare Allowed Amount |
508151.06 |
Total Medical Medicare Payment Amount |
392640.92 |
Total Medical Medicare Standardized Payment Amount |
396752.21 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
338 |
Number Of Beneficiaries Age 65 to 74 |
569 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
939 |
Number Of Male Beneficiaries |
813 |
Number Of Non Hispanic White Beneficiaries |
1486 |
Number Of Black or African American Beneficiaries |
217 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
482 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.139 |