National Provider Identifier [NPI]: |
1750340576 |
Last Name Of The Provider |
SALAHI |
First Name Of The Provider |
FAROUK |
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 |
2708 S ROCHESTER RD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
ROCHESTER HILLS |
Zip Code Of The Provider |
483074577 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
4712 |
Number Of Medicare Beneficiaries |
1235 |
Total Submitted Charge Amount |
816121.8 |
Total Medicare Allowed Amount |
382605.97 |
Total Medicare Payment Amount |
284193.72 |
Total Medicare Standardized Payment Amount |
280000.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
212 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
2242 |
Total Drug Medicare AllowedAmount |
792.38 |
Total Drug Medicare PaymentAmount |
621.3 |
Total Drug Medicare Standardized Payment Amount |
621.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
4500 |
Number Of Medicare Beneficiaries With Medical Services |
1235 |
Total Medical Submitted Charge Amount |
813879.8 |
Total Medical Medicare Allowed Amount |
381813.59 |
Total Medical Medicare Payment Amount |
283572.42 |
Total Medical Medicare Standardized Payment Amount |
279379.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
238 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
668 |
Number Of Male Beneficiaries |
567 |
Number Of Non Hispanic White Beneficiaries |
1049 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8911 |