National Provider Identifier [NPI]: |
1679542567 |
Last Name Of The Provider |
NADER |
First Name Of The Provider |
NIZAR |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12000 MCCRACKEN RD |
Street Address 2 Of The Provider |
#201 |
City Of The Provider |
GARFIELD HTS |
Zip Code Of The Provider |
441252964 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
5980 |
Number Of Medicare Beneficiaries |
1093 |
Total Submitted Charge Amount |
628936 |
Total Medicare Allowed Amount |
448891.33 |
Total Medicare Payment Amount |
343855.31 |
Total Medicare Standardized Payment Amount |
360181.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
2071 |
Total Drug Medicare AllowedAmount |
2026.25 |
Total Drug Medicare PaymentAmount |
1955.79 |
Total Drug Medicare Standardized Payment Amount |
1955.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
5865 |
Number Of Medicare Beneficiaries With Medical Services |
1093 |
Total Medical Submitted Charge Amount |
626865 |
Total Medical Medicare Allowed Amount |
446865.08 |
Total Medical Medicare Payment Amount |
341899.52 |
Total Medical Medicare Standardized Payment Amount |
358225.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
241 |
Number Of Female Beneficiaries |
622 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
806 |
Number Of Black or African American Beneficiaries |
257 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
791 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
32 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
69 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4309 |