National Provider Identifier [NPI]: |
1134148315 |
Last Name Of The Provider |
EL-SHAAR |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 E MARKET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
AKRON |
Zip Code Of The Provider |
443041619 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
2547 |
Number Of Medicare Beneficiaries |
1749 |
Total Submitted Charge Amount |
205841 |
Total Medicare Allowed Amount |
65650.86 |
Total Medicare Payment Amount |
48433.96 |
Total Medicare Standardized Payment Amount |
49866.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
2547 |
Number Of Medicare Beneficiaries With Medical Services |
1749 |
Total Medical Submitted Charge Amount |
205841 |
Total Medical Medicare Allowed Amount |
65650.86 |
Total Medical Medicare Payment Amount |
48433.96 |
Total Medical Medicare Standardized Payment Amount |
49866.84 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
442 |
Number Of Beneficiaries Age 65 to 74 |
516 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
336 |
Number Of Female Beneficiaries |
1003 |
Number Of Male Beneficiaries |
746 |
Number Of Non Hispanic White Beneficiaries |
1485 |
Number Of Black or African American Beneficiaries |
225 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1119 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
630 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0932 |