National Provider Identifier [NPI]: |
1619186368 |
Last Name Of The Provider |
WEHBE |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
411 LAUREL STREET |
Street Address 2 Of The Provider |
SUITE 300A |
City Of The Provider |
DES MOINES |
Zip Code Of The Provider |
50314 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
10287 |
Number Of Medicare Beneficiaries |
568 |
Total Submitted Charge Amount |
1213860.08 |
Total Medicare Allowed Amount |
405902.75 |
Total Medicare Payment Amount |
317770.25 |
Total Medicare Standardized Payment Amount |
324851.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
6485 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
645739 |
Total Drug Medicare AllowedAmount |
193064.39 |
Total Drug Medicare PaymentAmount |
150653.71 |
Total Drug Medicare Standardized Payment Amount |
150653.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
3802 |
Number Of Medicare Beneficiaries With Medical Services |
567 |
Total Medical Submitted Charge Amount |
568121.08 |
Total Medical Medicare Allowed Amount |
212838.36 |
Total Medical Medicare Payment Amount |
167116.54 |
Total Medical Medicare Standardized Payment Amount |
174197.87 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
277 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
290 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.2731 |