National Provider Identifier [NPI]: |
1497857148 |
Last Name Of The Provider |
SABBAGH |
First Name Of The Provider |
MOHAMMAD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5082 VILLA LINDE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485323411 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
2997 |
Number Of Medicare Beneficiaries |
1134 |
Total Submitted Charge Amount |
751725 |
Total Medicare Allowed Amount |
405259.11 |
Total Medicare Payment Amount |
300326.36 |
Total Medicare Standardized Payment Amount |
312243.96 |
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 |
30 |
Number Of Medical Services |
2997 |
Number Of Medicare Beneficiaries With Medical Services |
1134 |
Total Medical Submitted Charge Amount |
751725 |
Total Medical Medicare Allowed Amount |
405259.11 |
Total Medical Medicare Payment Amount |
300326.36 |
Total Medical Medicare Standardized Payment Amount |
312243.96 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
422 |
Number Of Beneficiaries Age 65 to 74 |
299 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
686 |
Number Of Male Beneficiaries |
448 |
Number Of Non Hispanic White Beneficiaries |
802 |
Number Of Black or African American Beneficiaries |
292 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
683 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
451 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
1.9617 |