National Provider Identifier [NPI]: |
1326040510 |
Last Name Of The Provider |
ALMASRI |
First Name Of The Provider |
BASEM |
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 |
468 CADIEUX |
Street Address 2 Of The Provider |
BEAUMONT GROSSE POINTE |
City Of The Provider |
GROSSE POINTE |
Zip Code Of The Provider |
48230 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
6119 |
Number Of Medicare Beneficiaries |
1305 |
Total Submitted Charge Amount |
1237047 |
Total Medicare Allowed Amount |
599329.78 |
Total Medicare Payment Amount |
463907.93 |
Total Medicare Standardized Payment Amount |
449317.1 |
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 |
36 |
Number Of Medical Services |
6119 |
Number Of Medicare Beneficiaries With Medical Services |
1305 |
Total Medical Submitted Charge Amount |
1237047 |
Total Medical Medicare Allowed Amount |
599329.78 |
Total Medical Medicare Payment Amount |
463907.93 |
Total Medical Medicare Standardized Payment Amount |
449317.1 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
539 |
Number Of Female Beneficiaries |
843 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
1085 |
Number Of Black or African American Beneficiaries |
193 |
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 |
851 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
454 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
54 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.608 |