National Provider Identifier [NPI]: |
1780689422 |
Last Name Of The Provider |
HAJJAR |
First Name Of The Provider |
ELIAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 N BROOKWOOD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMILTON |
Zip Code Of The Provider |
450131209 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
742 |
Number Of Medicare Beneficiaries |
464 |
Total Submitted Charge Amount |
81045 |
Total Medicare Allowed Amount |
47989.22 |
Total Medicare Payment Amount |
31005.12 |
Total Medicare Standardized Payment Amount |
32728.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1290 |
Total Drug Medicare AllowedAmount |
308.85 |
Total Drug Medicare PaymentAmount |
282.88 |
Total Drug Medicare Standardized Payment Amount |
282.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
698 |
Number Of Medicare Beneficiaries With Medical Services |
464 |
Total Medical Submitted Charge Amount |
79755 |
Total Medical Medicare Allowed Amount |
47680.37 |
Total Medical Medicare Payment Amount |
30722.24 |
Total Medical Medicare Standardized Payment Amount |
32445.72 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
443 |
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 |
306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9334 |