National Provider Identifier [NPI]: |
1245234129 |
Last Name Of The Provider |
ABBAS |
First Name Of The Provider |
JIHAD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
730 N MACOMB ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MONROE |
Zip Code Of The Provider |
481622900 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
209 |
Number Of Services |
6366 |
Number Of Medicare Beneficiaries |
2493 |
Total Submitted Charge Amount |
2659897 |
Total Medicare Allowed Amount |
644983.05 |
Total Medicare Payment Amount |
496889.12 |
Total Medicare Standardized Payment Amount |
496411.21 |
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 |
209 |
Number Of Medical Services |
6366 |
Number Of Medicare Beneficiaries With Medical Services |
2493 |
Total Medical Submitted Charge Amount |
2659897 |
Total Medical Medicare Allowed Amount |
644983.05 |
Total Medical Medicare Payment Amount |
496889.12 |
Total Medical Medicare Standardized Payment Amount |
496411.21 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
606 |
Number Of Beneficiaries Age 65 to 74 |
854 |
Number Of Beneficiaries Age 75 to 84 |
647 |
Number Of Beneficiaries Age Greater 84 |
386 |
Number Of Female Beneficiaries |
1366 |
Number Of Male Beneficiaries |
1127 |
Number Of Non Hispanic White Beneficiaries |
2171 |
Number Of Black or African American Beneficiaries |
222 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1692 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
801 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3921 |