National Provider Identifier [NPI]: |
1497907778 |
Last Name Of The Provider |
HUSSEINALI |
First Name Of The Provider |
ALAA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27260 EUREKA RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAYLOR |
Zip Code Of The Provider |
481804845 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
4751 |
Number Of Medicare Beneficiaries |
376 |
Total Submitted Charge Amount |
307761 |
Total Medicare Allowed Amount |
191497.79 |
Total Medicare Payment Amount |
141559.35 |
Total Medicare Standardized Payment Amount |
137102.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
1881 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
21851 |
Total Drug Medicare AllowedAmount |
2082.53 |
Total Drug Medicare PaymentAmount |
1654.42 |
Total Drug Medicare Standardized Payment Amount |
1654.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2870 |
Number Of Medicare Beneficiaries With Medical Services |
376 |
Total Medical Submitted Charge Amount |
285910 |
Total Medical Medicare Allowed Amount |
189415.26 |
Total Medical Medicare Payment Amount |
139904.93 |
Total Medical Medicare Standardized Payment Amount |
135448.17 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
177 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
245 |
Number Of Black or African American Beneficiaries |
95 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
203 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1091 |