National Provider Identifier [NPI]: |
1598795247 |
Last Name Of The Provider |
HELMY |
First Name Of The Provider |
IBRAHIM |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
575 E HARDY ST |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
INGLEWOOD |
Zip Code Of The Provider |
903014036 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
5931 |
Number Of Medicare Beneficiaries |
1144 |
Total Submitted Charge Amount |
1261167 |
Total Medicare Allowed Amount |
545415.6 |
Total Medicare Payment Amount |
411544.01 |
Total Medicare Standardized Payment Amount |
380168.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
324 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
62820 |
Total Drug Medicare AllowedAmount |
17156.43 |
Total Drug Medicare PaymentAmount |
13450.63 |
Total Drug Medicare Standardized Payment Amount |
13450.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
5607 |
Number Of Medicare Beneficiaries With Medical Services |
1144 |
Total Medical Submitted Charge Amount |
1198347 |
Total Medical Medicare Allowed Amount |
528259.17 |
Total Medical Medicare Payment Amount |
398093.38 |
Total Medical Medicare Standardized Payment Amount |
366718 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
177 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
261 |
Number Of Female Beneficiaries |
669 |
Number Of Male Beneficiaries |
475 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
477 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
201 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
551 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
593 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.3175 |