National Provider Identifier [NPI]: |
1912955584 |
Last Name Of The Provider |
LAYOUS |
First Name Of The Provider |
FADI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
761 45TH AVE |
Street Address 2 Of The Provider |
STE 108 |
City Of The Provider |
MUNSTER |
Zip Code Of The Provider |
463212893 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Sleep Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5832 |
Number Of Medicare Beneficiaries |
1015 |
Total Submitted Charge Amount |
1482805 |
Total Medicare Allowed Amount |
593617.36 |
Total Medicare Payment Amount |
455487.63 |
Total Medicare Standardized Payment Amount |
439950.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1900 |
Total Drug Medicare AllowedAmount |
1163.88 |
Total Drug Medicare PaymentAmount |
1140.62 |
Total Drug Medicare Standardized Payment Amount |
1140.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
5809 |
Number Of Medicare Beneficiaries With Medical Services |
1015 |
Total Medical Submitted Charge Amount |
1480905 |
Total Medical Medicare Allowed Amount |
592453.48 |
Total Medical Medicare Payment Amount |
454347.01 |
Total Medical Medicare Standardized Payment Amount |
438810.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
559 |
Number Of Male Beneficiaries |
456 |
Number Of Non Hispanic White Beneficiaries |
782 |
Number Of Black or African American Beneficiaries |
142 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
801 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.4112 |