National Provider Identifier [NPI]: |
1548261415 |
Last Name Of The Provider |
EL-ZEIN |
First Name Of The Provider |
MAGED |
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 |
848 N SAINT FRANCIS ST |
Street Address 2 Of The Provider |
STE. 2945 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143800 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3434 |
Number Of Medicare Beneficiaries |
1013 |
Total Submitted Charge Amount |
978385.01 |
Total Medicare Allowed Amount |
317304.65 |
Total Medicare Payment Amount |
242008.8 |
Total Medicare Standardized Payment Amount |
255413.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
490 |
Total Drug Medicare AllowedAmount |
449.86 |
Total Drug Medicare PaymentAmount |
438.57 |
Total Drug Medicare Standardized Payment Amount |
438.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3422 |
Number Of Medicare Beneficiaries With Medical Services |
1013 |
Total Medical Submitted Charge Amount |
977895.01 |
Total Medical Medicare Allowed Amount |
316854.79 |
Total Medical Medicare Payment Amount |
241570.23 |
Total Medical Medicare Standardized Payment Amount |
254974.54 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
539 |
Number Of Male Beneficiaries |
474 |
Number Of Non Hispanic White Beneficiaries |
897 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1571 |