National Provider Identifier [NPI]: |
1689831257 |
Last Name Of The Provider |
EL-AROUSY |
First Name Of The Provider |
HAZEM |
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 |
1580 SANTA BARBARA BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321596827 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
2214 |
Number Of Medicare Beneficiaries |
1060 |
Total Submitted Charge Amount |
205075 |
Total Medicare Allowed Amount |
150226.41 |
Total Medicare Payment Amount |
106109.83 |
Total Medicare Standardized Payment Amount |
106666.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
1490 |
Total Drug Medicare AllowedAmount |
679.6 |
Total Drug Medicare PaymentAmount |
482.72 |
Total Drug Medicare Standardized Payment Amount |
482.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2108 |
Number Of Medicare Beneficiaries With Medical Services |
1060 |
Total Medical Submitted Charge Amount |
203585 |
Total Medical Medicare Allowed Amount |
149546.81 |
Total Medical Medicare Payment Amount |
105627.11 |
Total Medical Medicare Standardized Payment Amount |
106184.19 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
489 |
Number Of Beneficiaries Age 75 to 84 |
422 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
602 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
1011 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1039 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3272 |