| National Provider Identifier [NPI]: | 1548223878 |
| Last Name Of The Provider | KHOURY |
| First Name Of The Provider | PIERRE |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 22710 PROFESSIONAL DR |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | KINGWOOD |
| Zip Code Of The Provider | 773396008 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 137 |
| Number Of Services | 265100 |
| Number Of Medicare Beneficiaries | 662 |
| Total Submitted Charge Amount | 10001915.56 |
| Total Medicare Allowed Amount | 4122843.2 |
| Total Medicare Payment Amount | 3214489.15 |
| Total Medicare Standardized Payment Amount | 3188578.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 71 |
| Number Of Drug Services | 254956 |
| Number Of Medicare Beneficiaries With Drug Services | 222 |
| Total Drug Submitted ChargeAmount | 7741936.1 |
| Total Drug Medicare AllowedAmount | 3246728.32 |
| Total Drug Medicare PaymentAmount | 2540913.96 |
| Total Drug Medicare Standardized Payment Amount | 2540913.96 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 66 |
| Number Of Medical Services | 10144 |
| Number Of Medicare Beneficiaries With Medical Services | 662 |
| Total Medical Submitted Charge Amount | 2259979.46 |
| Total Medical Medicare Allowed Amount | 876114.88 |
| Total Medical Medicare Payment Amount | 673575.19 |
| Total Medical Medicare Standardized Payment Amount | 647664.15 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 91 |
| Number Of Beneficiaries Age 65 to 74 | 272 |
| Number Of Beneficiaries Age 75 to 84 | 215 |
| Number Of Beneficiaries Age Greater 84 | 84 |
| Number Of Female Beneficiaries | 406 |
| Number Of Male Beneficiaries | 256 |
| Number Of Non Hispanic White Beneficiaries | 546 |
| Number Of Black or African American Beneficiaries | 69 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 522 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 140 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 42 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.1916 |