National Provider Identifier [NPI]: |
1366527160 |
Last Name Of The Provider |
AL-MIDANI |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD FACP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4050 WALLI STRASSE DR |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
BURTON |
Zip Code Of The Provider |
485091727 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3776 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
1692440 |
Total Medicare Allowed Amount |
561706.06 |
Total Medicare Payment Amount |
427639.88 |
Total Medicare Standardized Payment Amount |
454020.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
900 |
Number Of Medicare Beneficiaries With Drug Services |
404 |
Total Drug Submitted ChargeAmount |
5310 |
Total Drug Medicare AllowedAmount |
128.51 |
Total Drug Medicare PaymentAmount |
101.8 |
Total Drug Medicare Standardized Payment Amount |
101.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2876 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
1687130 |
Total Medical Medicare Allowed Amount |
561577.55 |
Total Medical Medicare Payment Amount |
427538.08 |
Total Medical Medicare Standardized Payment Amount |
453918.49 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
361 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
413 |
Number Of Black or African American Beneficiaries |
360 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
408 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7587 |