National Provider Identifier [NPI]: |
1780648873 |
Last Name Of The Provider |
NAHHAS |
First Name Of The Provider |
ANAS |
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 |
12820 S RIDGELAND AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
PALOS HEIGHTS |
Zip Code Of The Provider |
604632388 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3116 |
Number Of Medicare Beneficiaries |
955 |
Total Submitted Charge Amount |
1196205 |
Total Medicare Allowed Amount |
461577.96 |
Total Medicare Payment Amount |
351159.79 |
Total Medicare Standardized Payment Amount |
330943.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
2415 |
Total Drug Medicare AllowedAmount |
588.5 |
Total Drug Medicare PaymentAmount |
567.83 |
Total Drug Medicare Standardized Payment Amount |
567.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3045 |
Number Of Medicare Beneficiaries With Medical Services |
955 |
Total Medical Submitted Charge Amount |
1193790 |
Total Medical Medicare Allowed Amount |
460989.46 |
Total Medical Medicare Payment Amount |
350591.96 |
Total Medical Medicare Standardized Payment Amount |
330375.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
570 |
Number Of Black or African American Beneficiaries |
345 |
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 |
672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.7552 |