National Provider Identifier [NPI]: |
1184681637 |
Last Name Of The Provider |
ALBAGHDADI |
First Name Of The Provider |
SAADI |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
915 13TH AVE N |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON |
Zip Code Of The Provider |
527325067 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
236 |
Number Of Services |
31546 |
Number Of Medicare Beneficiaries |
2002 |
Total Submitted Charge Amount |
4593013.62 |
Total Medicare Allowed Amount |
1366340.86 |
Total Medicare Payment Amount |
1045456.3 |
Total Medicare Standardized Payment Amount |
1125126.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
6657 |
Number Of Medicare Beneficiaries With Drug Services |
257 |
Total Drug Submitted ChargeAmount |
95129.5 |
Total Drug Medicare AllowedAmount |
43580.86 |
Total Drug Medicare PaymentAmount |
34296.85 |
Total Drug Medicare Standardized Payment Amount |
34296.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
226 |
Number Of Medical Services |
24889 |
Number Of Medicare Beneficiaries With Medical Services |
2002 |
Total Medical Submitted Charge Amount |
4497884.12 |
Total Medical Medicare Allowed Amount |
1322760 |
Total Medical Medicare Payment Amount |
1011159.45 |
Total Medical Medicare Standardized Payment Amount |
1090829.9 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
237 |
Number Of Beneficiaries Age 65 to 74 |
639 |
Number Of Beneficiaries Age 75 to 84 |
642 |
Number Of Beneficiaries Age Greater 84 |
484 |
Number Of Female Beneficiaries |
1053 |
Number Of Male Beneficiaries |
949 |
Number Of Non Hispanic White Beneficiaries |
1928 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
428 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6243 |