Medicare Facts for Jean-Marie J. El-Fakhoury, LMSW


National Provider Identifier [NPI]: 1093862161
Last Name Of The Provider EL-FAKHOURY
First Name Of The Provider JEAN-MARIE
Middle Initial Of The Provider J
Credentials Of The Provider L.M.S.W
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5111 AUTO CLUB DR
Street Address 2 Of The Provider
City Of The Provider DEARBORN
Zip Code Of The Provider 481262749
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 120
Number Of Medicare Beneficiaries 28
Total Submitted Charge Amount 17286
Total Medicare Allowed Amount 10439.25
Total Medicare Payment Amount 7539.6
Total Medicare Standardized Payment Amount 7453.5
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 3
Number Of Medical Services 120
Number Of Medicare Beneficiaries With Medical Services 28
Total Medical Submitted Charge Amount 17286
Total Medical Medicare Allowed Amount 10439.25
Total Medical Medicare Payment Amount 7539.6
Total Medical Medicare Standardized Payment Amount 7453.5
Average Age Of Beneficiaries 58
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 15
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 75
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1819

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