National Provider Identifier [NPI]: |
1154588580 |
Last Name Of The Provider |
BEHIRI |
First Name Of The Provider |
AMR |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
41816 FENWAY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ASHBURN |
Zip Code Of The Provider |
201488069 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
5293 |
Number Of Medicare Beneficiaries |
1129 |
Total Submitted Charge Amount |
1054595 |
Total Medicare Allowed Amount |
576628.55 |
Total Medicare Payment Amount |
435381.04 |
Total Medicare Standardized Payment Amount |
419307.55 |
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 |
21 |
Number Of Medical Services |
5293 |
Number Of Medicare Beneficiaries With Medical Services |
1129 |
Total Medical Submitted Charge Amount |
1054595 |
Total Medical Medicare Allowed Amount |
576628.55 |
Total Medical Medicare Payment Amount |
435381.04 |
Total Medical Medicare Standardized Payment Amount |
419307.55 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
401 |
Number Of Beneficiaries Age Greater 84 |
416 |
Number Of Female Beneficiaries |
711 |
Number Of Male Beneficiaries |
418 |
Number Of Non Hispanic White Beneficiaries |
899 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
835 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
294 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1046 |