National Provider Identifier [NPI]: |
1649461930 |
Last Name Of The Provider |
GHAYAD |
First Name Of The Provider |
ZEINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
709 HADDONFIELD BERLINE ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
08043 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
154134 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
1508597.86 |
Total Medicare Allowed Amount |
558689.68 |
Total Medicare Payment Amount |
436695.25 |
Total Medicare Standardized Payment Amount |
407563.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
150570 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
1060795.7 |
Total Drug Medicare AllowedAmount |
264962.56 |
Total Drug Medicare PaymentAmount |
208015.62 |
Total Drug Medicare Standardized Payment Amount |
208015.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3564 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
447802.16 |
Total Medical Medicare Allowed Amount |
293727.12 |
Total Medical Medicare Payment Amount |
228679.63 |
Total Medical Medicare Standardized Payment Amount |
199547.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
416 |
Number Of Male Beneficiaries |
379 |
Number Of Non Hispanic White Beneficiaries |
609 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.769 |