National Provider Identifier [NPI]: |
1528067345 |
Last Name Of The Provider |
DAKHEEL |
First Name Of The Provider |
RIAD |
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 |
4000 MITCHELLVILLE RD |
Street Address 2 Of The Provider |
STE B216 |
City Of The Provider |
BOWIE |
Zip Code Of The Provider |
207163145 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2342 |
Number Of Medicare Beneficiaries |
875 |
Total Submitted Charge Amount |
444524 |
Total Medicare Allowed Amount |
216840.73 |
Total Medicare Payment Amount |
156616.09 |
Total Medicare Standardized Payment Amount |
143095.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
360 |
Total Drug Medicare AllowedAmount |
100.95 |
Total Drug Medicare PaymentAmount |
98.91 |
Total Drug Medicare Standardized Payment Amount |
98.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2330 |
Number Of Medicare Beneficiaries With Medical Services |
875 |
Total Medical Submitted Charge Amount |
444164 |
Total Medical Medicare Allowed Amount |
216739.78 |
Total Medical Medicare Payment Amount |
156517.18 |
Total Medical Medicare Standardized Payment Amount |
142996.28 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
443 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
495 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
545 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
722 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4182 |