National Provider Identifier [NPI]: |
1467421016 |
Last Name Of The Provider |
TADROS |
First Name Of The Provider |
MAGDY |
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 |
9318 W 146TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662212250 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
8826 |
Number Of Medicare Beneficiaries |
756 |
Total Submitted Charge Amount |
1375610 |
Total Medicare Allowed Amount |
764292.52 |
Total Medicare Payment Amount |
593202.39 |
Total Medicare Standardized Payment Amount |
611425 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
8826 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
1375610 |
Total Medical Medicare Allowed Amount |
764292.52 |
Total Medical Medicare Payment Amount |
593202.39 |
Total Medical Medicare Standardized Payment Amount |
611425 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
237 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
449 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
602 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.4772 |