National Provider Identifier [NPI]: |
1972561975 |
Last Name Of The Provider |
ABOURAHMA |
First Name Of The Provider |
ASHRAF |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5702 W 95TH ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
OAK LAWN |
Zip Code Of The Provider |
604532345 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
9220 |
Number Of Medicare Beneficiaries |
2228 |
Total Submitted Charge Amount |
2718440 |
Total Medicare Allowed Amount |
976169.69 |
Total Medicare Payment Amount |
747431.63 |
Total Medicare Standardized Payment Amount |
698596.39 |
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 |
97 |
Number Of Medical Services |
9220 |
Number Of Medicare Beneficiaries With Medical Services |
2228 |
Total Medical Submitted Charge Amount |
2718440 |
Total Medical Medicare Allowed Amount |
976169.69 |
Total Medical Medicare Payment Amount |
747431.63 |
Total Medical Medicare Standardized Payment Amount |
698596.39 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
345 |
Number Of Beneficiaries Age 65 to 74 |
723 |
Number Of Beneficiaries Age 75 to 84 |
747 |
Number Of Beneficiaries Age Greater 84 |
413 |
Number Of Female Beneficiaries |
1236 |
Number Of Male Beneficiaries |
992 |
Number Of Non Hispanic White Beneficiaries |
977 |
Number Of Black or African American Beneficiaries |
1036 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
157 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
876 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.43 |