National Provider Identifier [NPI]: |
1285618983 |
Last Name Of The Provider |
BATAH |
First Name Of The Provider |
FOUAD |
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 |
29877 TELEGRAPH RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480347659 |
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 |
88 |
Number Of Services |
5083 |
Number Of Medicare Beneficiaries |
735 |
Total Submitted Charge Amount |
669560 |
Total Medicare Allowed Amount |
456705.77 |
Total Medicare Payment Amount |
349499.1 |
Total Medicare Standardized Payment Amount |
341248.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
235 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
8740 |
Total Drug Medicare AllowedAmount |
5491.62 |
Total Drug Medicare PaymentAmount |
5374.7 |
Total Drug Medicare Standardized Payment Amount |
5374.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
4848 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
660820 |
Total Medical Medicare Allowed Amount |
451214.15 |
Total Medical Medicare Payment Amount |
344124.4 |
Total Medical Medicare Standardized Payment Amount |
335874.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
286 |
Number Of Black or African American Beneficiaries |
407 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.4831 |