National Provider Identifier [NPI]: |
1013904093 |
Last Name Of The Provider |
ALAWWA |
First Name Of The Provider |
ABDUL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1031 SUNCREST DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAPEER |
Zip Code Of The Provider |
484461136 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
11045 |
Number Of Medicare Beneficiaries |
2291 |
Total Submitted Charge Amount |
1760141.36 |
Total Medicare Allowed Amount |
982273.06 |
Total Medicare Payment Amount |
749062.93 |
Total Medicare Standardized Payment Amount |
777978.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
362 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
26623.16 |
Total Drug Medicare AllowedAmount |
19164.08 |
Total Drug Medicare PaymentAmount |
14900.18 |
Total Drug Medicare Standardized Payment Amount |
14900.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
10683 |
Number Of Medicare Beneficiaries With Medical Services |
2291 |
Total Medical Submitted Charge Amount |
1733518.2 |
Total Medical Medicare Allowed Amount |
963108.98 |
Total Medical Medicare Payment Amount |
734162.75 |
Total Medical Medicare Standardized Payment Amount |
763078.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
418 |
Number Of Beneficiaries Age 65 to 74 |
752 |
Number Of Beneficiaries Age 75 to 84 |
744 |
Number Of Beneficiaries Age Greater 84 |
377 |
Number Of Female Beneficiaries |
1210 |
Number Of Male Beneficiaries |
1081 |
Number Of Non Hispanic White Beneficiaries |
1990 |
Number Of Black or African American Beneficiaries |
240 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1827 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
464 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1088 |