National Provider Identifier [NPI]: |
1073538807 |
Last Name Of The Provider |
EL-SHERIF |
First Name Of The Provider |
TAREK |
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 |
7605 ROYAL TROON TER |
Street Address 2 Of The Provider |
|
City Of The Provider |
IJAMSVILLE |
Zip Code Of The Provider |
217549168 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3984 |
Number Of Medicare Beneficiaries |
1437 |
Total Submitted Charge Amount |
729187.39 |
Total Medicare Allowed Amount |
396257.03 |
Total Medicare Payment Amount |
298004.6 |
Total Medicare Standardized Payment Amount |
293397.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
448 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
28000 |
Total Drug Medicare AllowedAmount |
23728.26 |
Total Drug Medicare PaymentAmount |
18437.35 |
Total Drug Medicare Standardized Payment Amount |
18437.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3536 |
Number Of Medicare Beneficiaries With Medical Services |
1437 |
Total Medical Submitted Charge Amount |
701187.39 |
Total Medical Medicare Allowed Amount |
372528.77 |
Total Medical Medicare Payment Amount |
279567.25 |
Total Medical Medicare Standardized Payment Amount |
274960.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
256 |
Number Of Beneficiaries Age 65 to 74 |
519 |
Number Of Beneficiaries Age 75 to 84 |
428 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
773 |
Number Of Male Beneficiaries |
664 |
Number Of Non Hispanic White Beneficiaries |
1327 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1094 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7698 |