National Provider Identifier [NPI]: |
1285632224 |
Last Name Of The Provider |
HABASHY |
First Name Of The Provider |
HANY |
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 |
1325 EASTMORELAND AVE |
Street Address 2 Of The Provider |
STE 550 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381047507 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
15027 |
Number Of Medicare Beneficiaries |
2113 |
Total Submitted Charge Amount |
1718900 |
Total Medicare Allowed Amount |
972774.8 |
Total Medicare Payment Amount |
744207.32 |
Total Medicare Standardized Payment Amount |
791710.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
323 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
3459 |
Total Drug Medicare AllowedAmount |
229.2 |
Total Drug Medicare PaymentAmount |
191.49 |
Total Drug Medicare Standardized Payment Amount |
191.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
14704 |
Number Of Medicare Beneficiaries With Medical Services |
2113 |
Total Medical Submitted Charge Amount |
1715441 |
Total Medical Medicare Allowed Amount |
972545.6 |
Total Medical Medicare Payment Amount |
744015.83 |
Total Medical Medicare Standardized Payment Amount |
791518.79 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
691 |
Number Of Beneficiaries Age 65 to 74 |
659 |
Number Of Beneficiaries Age 75 to 84 |
505 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
1215 |
Number Of Male Beneficiaries |
898 |
Number Of Non Hispanic White Beneficiaries |
772 |
Number Of Black or African American Beneficiaries |
1308 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1105 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1008 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
3.1765 |