National Provider Identifier [NPI]: |
1972568707 |
Last Name Of The Provider |
AL-HIHI |
First Name Of The Provider |
EYAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 RAINBOW BLVD, 6040 DELP, MS 1020 |
Street Address 2 Of The Provider |
UNIVERSITY OF KANSAS PHYSICIANS INC |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
66160 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
956 |
Number Of Medicare Beneficiaries |
257 |
Total Submitted Charge Amount |
192111 |
Total Medicare Allowed Amount |
86464.64 |
Total Medicare Payment Amount |
65183.3 |
Total Medicare Standardized Payment Amount |
69480.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
4320 |
Total Drug Medicare AllowedAmount |
2539.21 |
Total Drug Medicare PaymentAmount |
2467.71 |
Total Drug Medicare Standardized Payment Amount |
2467.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
865 |
Number Of Medicare Beneficiaries With Medical Services |
257 |
Total Medical Submitted Charge Amount |
187791 |
Total Medical Medicare Allowed Amount |
83925.43 |
Total Medical Medicare Payment Amount |
62715.59 |
Total Medical Medicare Standardized Payment Amount |
67012.43 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
89 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
102 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
157 |
Number Of Black or African American Beneficiaries |
83 |
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 |
170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.1364 |