Medicare Facts for Dr. Souha Haydoura, MD


National Provider Identifier [NPI]: 1740419274
Last Name Of The Provider HAYDOURA
First Name Of The Provider SOUHA
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1010 N. KANSAS
Street Address 2 Of The Provider WCGME
City Of The Provider WICHITA
Zip Code Of The Provider 67214
State Code Of The Provider KS
Country Code Of The Provider US
Provider Type Of The Provider Infectious Disease
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 653
Number Of Medicare Beneficiaries 129
Total Submitted Charge Amount 111220
Total Medicare Allowed Amount 61964.75
Total Medicare Payment Amount 48185.27
Total Medicare Standardized Payment Amount 51144.25
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 15
Number Of Medical Services 653
Number Of Medicare Beneficiaries With Medical Services 129
Total Medical Submitted Charge Amount 111220
Total Medical Medicare Allowed Amount 61964.75
Total Medical Medicare Payment Amount 48185.27
Total Medical Medicare Standardized Payment Amount 51144.25
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 39
Number Of Beneficiaries Age 75 to 84 39
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 66
Number Of Male Beneficiaries 63
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 93
Number Of Beneficiaries With Medicare Medicaid Entitlement 36
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 9
Percent Of With Cancer 12
Percent Of With Heart Failure 39
Percent Of With Chronic Kidney Disease 67
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 35
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.4768

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