Medicare Facts for Dr. Haitham Abughnia, MD


National Provider Identifier [NPI]: 1437346889
Last Name Of The Provider ABUGHNIA
First Name Of The Provider HAITHAM
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 401 N STATE ST
Street Address 2 Of The Provider
City Of The Provider CLARKS SUMMIT
Zip Code Of The Provider 184111061
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 4231
Number Of Medicare Beneficiaries 1525
Total Submitted Charge Amount 447110
Total Medicare Allowed Amount 258015.5
Total Medicare Payment Amount 187567.93
Total Medicare Standardized Payment Amount 193815.93
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 201
Number Of Beneficiaries Age 65 to 74 577
Number Of Beneficiaries Age 75 to 84 472
Number Of Beneficiaries Age Greater 84 275
Number Of Female Beneficiaries 782
Number Of Male Beneficiaries 743
Number Of Non Hispanic White Beneficiaries 1481
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 14
Number Of Beneficiaries With Medicare Only Entitlement 1209
Number Of Beneficiaries With Medicare Medicaid Entitlement 316
Percent Of With Atrial Fibrillation 28
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 10
Percent Of With Cancer 11
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 22
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 74
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5117

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