National Provider Identifier [NPI]: |
1245342393 |
Last Name Of The Provider |
NAJJAR |
First Name Of The Provider |
MAZEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4644 GENESYS PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND BLANC |
Zip Code Of The Provider |
484398067 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
6261 |
Number Of Medicare Beneficiaries |
1022 |
Total Submitted Charge Amount |
802927.35 |
Total Medicare Allowed Amount |
549255.68 |
Total Medicare Payment Amount |
426407.76 |
Total Medicare Standardized Payment Amount |
438063.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
767 |
Total Drug Medicare AllowedAmount |
97.27 |
Total Drug Medicare PaymentAmount |
80.8 |
Total Drug Medicare Standardized Payment Amount |
80.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
6218 |
Number Of Medicare Beneficiaries With Medical Services |
1022 |
Total Medical Submitted Charge Amount |
802160.35 |
Total Medical Medicare Allowed Amount |
549158.41 |
Total Medical Medicare Payment Amount |
426326.96 |
Total Medical Medicare Standardized Payment Amount |
437982.96 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
340 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
719 |
Number Of Black or African American Beneficiaries |
268 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
611 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
411 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.9761 |