National Provider Identifier [NPI]: |
1437352994 |
Last Name Of The Provider |
ALASBAHI |
First Name Of The Provider |
MOHAMAD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
G1071 N BALLENGER HWY |
Street Address 2 Of The Provider |
PARK PLAZA SUITE 206 |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485044453 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
5920 |
Number Of Medicare Beneficiaries |
724 |
Total Submitted Charge Amount |
620915 |
Total Medicare Allowed Amount |
440724.48 |
Total Medicare Payment Amount |
337774.61 |
Total Medicare Standardized Payment Amount |
349718.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
431 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
7140 |
Total Drug Medicare AllowedAmount |
2808.47 |
Total Drug Medicare PaymentAmount |
2650.75 |
Total Drug Medicare Standardized Payment Amount |
2650.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
5489 |
Number Of Medicare Beneficiaries With Medical Services |
724 |
Total Medical Submitted Charge Amount |
613775 |
Total Medical Medicare Allowed Amount |
437916.01 |
Total Medical Medicare Payment Amount |
335123.86 |
Total Medical Medicare Standardized Payment Amount |
347068 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
598 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1214 |