National Provider Identifier [NPI]: |
1952564973 |
Last Name Of The Provider |
ARNAOUT |
First Name Of The Provider |
MAJD |
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 |
177 SAINT PATRICKS DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WALDORF |
Zip Code Of The Provider |
206035533 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
925 |
Number Of Medicare Beneficiaries |
495 |
Total Submitted Charge Amount |
140366 |
Total Medicare Allowed Amount |
62191.71 |
Total Medicare Payment Amount |
39291.32 |
Total Medicare Standardized Payment Amount |
41882.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
86 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
3125 |
Total Drug Medicare AllowedAmount |
366.04 |
Total Drug Medicare PaymentAmount |
280 |
Total Drug Medicare Standardized Payment Amount |
280 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
839 |
Number Of Medicare Beneficiaries With Medical Services |
495 |
Total Medical Submitted Charge Amount |
137241 |
Total Medical Medicare Allowed Amount |
61825.67 |
Total Medical Medicare Payment Amount |
39011.32 |
Total Medical Medicare Standardized Payment Amount |
41602.43 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
448 |
Number Of Black or African American Beneficiaries |
33 |
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 |
106 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9681 |