National Provider Identifier [NPI]: |
1326097387 |
Last Name Of The Provider |
RIHAWI |
First Name Of The Provider |
AYMAN |
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 |
104 BORDERS WAY STE 400 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARNER ROBINS |
Zip Code Of The Provider |
310888967 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
61546.5 |
Number Of Medicare Beneficiaries |
677 |
Total Submitted Charge Amount |
1380978 |
Total Medicare Allowed Amount |
606310.87 |
Total Medicare Payment Amount |
473712.8 |
Total Medicare Standardized Payment Amount |
495601.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
54193.5 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
289360 |
Total Drug Medicare AllowedAmount |
42964.22 |
Total Drug Medicare PaymentAmount |
33671.76 |
Total Drug Medicare Standardized Payment Amount |
33671.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
7353 |
Number Of Medicare Beneficiaries With Medical Services |
677 |
Total Medical Submitted Charge Amount |
1091618 |
Total Medical Medicare Allowed Amount |
563346.65 |
Total Medical Medicare Payment Amount |
440041.04 |
Total Medical Medicare Standardized Payment Amount |
461929.71 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
216 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
449 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.7465 |