National Provider Identifier [NPI]: |
1972703536 |
Last Name Of The Provider |
ABDELAZIZ |
First Name Of The Provider |
AMGED |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18101 OAKWOOD BLVD |
Street Address 2 Of The Provider |
OAKWOOD HOSPITAL & MEDICAL CENTER |
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
48124 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
117 |
Number Of Medicare Beneficiaries |
110 |
Total Submitted Charge Amount |
33907 |
Total Medicare Allowed Amount |
21557.24 |
Total Medicare Payment Amount |
15211.63 |
Total Medicare Standardized Payment Amount |
15063.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
117 |
Number Of Medicare Beneficiaries With Medical Services |
110 |
Total Medical Submitted Charge Amount |
33907 |
Total Medical Medicare Allowed Amount |
21557.24 |
Total Medical Medicare Payment Amount |
15211.63 |
Total Medical Medicare Standardized Payment Amount |
15063.02 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
34 |
Number Of Beneficiaries Age 75 to 84 |
33 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
55 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
85 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
56 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
73 |
Percent Of With Chronic Kidney Disease |
70 |
Percent Of With Chronic Obstructive Pulmonary Disease |
73 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.5184 |