National Provider Identifier [NPI]: |
1962479477 |
Last Name Of The Provider |
ZAKHARY |
First Name Of The Provider |
MOUNIR |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
304 S PARK LN |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
ALTUS |
Zip Code Of The Provider |
735215718 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
4930 |
Number Of Medicare Beneficiaries |
950 |
Total Submitted Charge Amount |
867504.09 |
Total Medicare Allowed Amount |
373819.03 |
Total Medicare Payment Amount |
276568.61 |
Total Medicare Standardized Payment Amount |
298731.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
216 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
172800 |
Total Drug Medicare AllowedAmount |
47823.44 |
Total Drug Medicare PaymentAmount |
37010 |
Total Drug Medicare Standardized Payment Amount |
37010 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
4714 |
Number Of Medicare Beneficiaries With Medical Services |
950 |
Total Medical Submitted Charge Amount |
694704.09 |
Total Medical Medicare Allowed Amount |
325995.59 |
Total Medical Medicare Payment Amount |
239558.61 |
Total Medical Medicare Standardized Payment Amount |
261721.77 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
353 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
678 |
Number Of Non Hispanic White Beneficiaries |
812 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
81 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
755 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2693 |