National Provider Identifier [NPI]: |
1013997741 |
Last Name Of The Provider |
AKKAD |
First Name Of The Provider |
HAYSAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4239 FARNAM ST |
Street Address 2 Of The Provider |
#100 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681312868 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
19060 |
Number Of Medicare Beneficiaries |
3485 |
Total Submitted Charge Amount |
4023104 |
Total Medicare Allowed Amount |
1640048.28 |
Total Medicare Payment Amount |
1239971.85 |
Total Medicare Standardized Payment Amount |
1336857.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
987 |
Number Of Medicare Beneficiaries With Drug Services |
267 |
Total Drug Submitted ChargeAmount |
129346 |
Total Drug Medicare AllowedAmount |
48311.88 |
Total Drug Medicare PaymentAmount |
37451.73 |
Total Drug Medicare Standardized Payment Amount |
37451.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
18073 |
Number Of Medicare Beneficiaries With Medical Services |
3485 |
Total Medical Submitted Charge Amount |
3893758 |
Total Medical Medicare Allowed Amount |
1591736.4 |
Total Medical Medicare Payment Amount |
1202520.12 |
Total Medical Medicare Standardized Payment Amount |
1299405.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
520 |
Number Of Beneficiaries Age 65 to 74 |
1244 |
Number Of Beneficiaries Age 75 to 84 |
1146 |
Number Of Beneficiaries Age Greater 84 |
575 |
Number Of Female Beneficiaries |
1843 |
Number Of Male Beneficiaries |
1642 |
Number Of Non Hispanic White Beneficiaries |
3105 |
Number Of Black or African American Beneficiaries |
226 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
2755 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
730 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6381 |