National Provider Identifier [NPI]: |
1003951013 |
Last Name Of The Provider |
HUSSAIN |
First Name Of The Provider |
YUSRA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
770 WELCH RD |
Street Address 2 Of The Provider |
SUITE # 250 |
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943041511 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1121 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
142311.8 |
Total Medicare Allowed Amount |
127872.17 |
Total Medicare Payment Amount |
97564.63 |
Total Medicare Standardized Payment Amount |
84735.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
862 |
Total Drug Medicare AllowedAmount |
801.04 |
Total Drug Medicare PaymentAmount |
784.3 |
Total Drug Medicare Standardized Payment Amount |
784.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1088 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
141449.8 |
Total Medical Medicare Allowed Amount |
127071.13 |
Total Medical Medicare Payment Amount |
96780.33 |
Total Medical Medicare Standardized Payment Amount |
83951.3 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
283 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4265 |