National Provider Identifier [NPI]: |
1265752240 |
Last Name Of The Provider |
ABOUZIA |
First Name Of The Provider |
ALI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7322 SOUTHWEST FWY |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770742073 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
3195 |
Number Of Medicare Beneficiaries |
555 |
Total Submitted Charge Amount |
381747.9 |
Total Medicare Allowed Amount |
333298.11 |
Total Medicare Payment Amount |
256182.9 |
Total Medicare Standardized Payment Amount |
255300.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
168 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
3801.38 |
Total Drug Medicare AllowedAmount |
3589.21 |
Total Drug Medicare PaymentAmount |
3511.37 |
Total Drug Medicare Standardized Payment Amount |
3511.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
3027 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
377946.52 |
Total Medical Medicare Allowed Amount |
329708.9 |
Total Medical Medicare Payment Amount |
252671.53 |
Total Medical Medicare Standardized Payment Amount |
251789.25 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
357 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
168 |
Number Of Black or African American Beneficiaries |
280 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
303 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.5356 |