National Provider Identifier [NPI]: |
1588609267 |
Last Name Of The Provider |
ASFOUR |
First Name Of The Provider |
ABEDELRAHIM |
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 |
29100 GATEWAY BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
FLAT ROCK |
Zip Code Of The Provider |
481342764 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
4332 |
Number Of Medicare Beneficiaries |
940 |
Total Submitted Charge Amount |
922610 |
Total Medicare Allowed Amount |
561394.96 |
Total Medicare Payment Amount |
428647.17 |
Total Medicare Standardized Payment Amount |
418878.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
358 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
22336 |
Total Drug Medicare AllowedAmount |
18709.83 |
Total Drug Medicare PaymentAmount |
14670.12 |
Total Drug Medicare Standardized Payment Amount |
14670.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
3974 |
Number Of Medicare Beneficiaries With Medical Services |
940 |
Total Medical Submitted Charge Amount |
900274 |
Total Medical Medicare Allowed Amount |
542685.13 |
Total Medical Medicare Payment Amount |
413977.05 |
Total Medical Medicare Standardized Payment Amount |
404207.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
747 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9642 |