National Provider Identifier [NPI]: |
1154485381 |
Last Name Of The Provider |
NAJJAR |
First Name Of The Provider |
HUSAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1019 N MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIKESTON |
Zip Code Of The Provider |
638015043 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
4090 |
Number Of Medicare Beneficiaries |
766 |
Total Submitted Charge Amount |
718183.4 |
Total Medicare Allowed Amount |
335829.7 |
Total Medicare Payment Amount |
252367 |
Total Medicare Standardized Payment Amount |
268762.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
319.25 |
Total Drug Medicare AllowedAmount |
34.78 |
Total Drug Medicare PaymentAmount |
26.68 |
Total Drug Medicare Standardized Payment Amount |
26.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
4074 |
Number Of Medicare Beneficiaries With Medical Services |
766 |
Total Medical Submitted Charge Amount |
717864.15 |
Total Medical Medicare Allowed Amount |
335794.92 |
Total Medical Medicare Payment Amount |
252340.32 |
Total Medical Medicare Standardized Payment Amount |
268736.12 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
329 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
377 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
75 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.0892 |