National Provider Identifier [NPI]: |
1861491748 |
Last Name Of The Provider |
HAJJ |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D., F.C.C.P. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 N OREGON ST |
Street Address 2 Of The Provider |
SUITE 540 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799023584 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
4953 |
Number Of Medicare Beneficiaries |
625 |
Total Submitted Charge Amount |
1373063 |
Total Medicare Allowed Amount |
592239.58 |
Total Medicare Payment Amount |
457495.55 |
Total Medicare Standardized Payment Amount |
475845.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
2150 |
Total Drug Medicare AllowedAmount |
1204.7 |
Total Drug Medicare PaymentAmount |
1180.6 |
Total Drug Medicare Standardized Payment Amount |
1180.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
4900 |
Number Of Medicare Beneficiaries With Medical Services |
625 |
Total Medical Submitted Charge Amount |
1370913 |
Total Medical Medicare Allowed Amount |
591034.88 |
Total Medical Medicare Payment Amount |
456314.95 |
Total Medical Medicare Standardized Payment Amount |
474664.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
384 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.1812 |