National Provider Identifier [NPI]: |
1659365096 |
Last Name Of The Provider |
ALAMEDDINE |
First Name Of The Provider |
FADI |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21212 NORTHWEST FWY |
Street Address 2 Of The Provider |
SUITE 325 |
City Of The Provider |
CYPRESS |
Zip Code Of The Provider |
774295884 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
7787 |
Number Of Medicare Beneficiaries |
1479 |
Total Submitted Charge Amount |
2620863 |
Total Medicare Allowed Amount |
782807.89 |
Total Medicare Payment Amount |
596522.85 |
Total Medicare Standardized Payment Amount |
602128.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
660 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
105600 |
Total Drug Medicare AllowedAmount |
34947.69 |
Total Drug Medicare PaymentAmount |
26993.38 |
Total Drug Medicare Standardized Payment Amount |
26993.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
7127 |
Number Of Medicare Beneficiaries With Medical Services |
1479 |
Total Medical Submitted Charge Amount |
2515263 |
Total Medical Medicare Allowed Amount |
747860.2 |
Total Medical Medicare Payment Amount |
569529.47 |
Total Medical Medicare Standardized Payment Amount |
575135.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
627 |
Number Of Beneficiaries Age 75 to 84 |
412 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
620 |
Number Of Non Hispanic White Beneficiaries |
1028 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
69 |
Number Of Hispanic Beneficiaries |
159 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.0518 |