National Provider Identifier [NPI]: |
1427084805 |
Last Name Of The Provider |
NAHHAS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2881 MONROE ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481242847 |
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 |
101 |
Number Of Services |
6546 |
Number Of Medicare Beneficiaries |
1020 |
Total Submitted Charge Amount |
1476687.59 |
Total Medicare Allowed Amount |
834869.02 |
Total Medicare Payment Amount |
629249.5 |
Total Medicare Standardized Payment Amount |
629703.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2274 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
43799.73 |
Total Drug Medicare AllowedAmount |
27588.6 |
Total Drug Medicare PaymentAmount |
21504.89 |
Total Drug Medicare Standardized Payment Amount |
21504.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
4272 |
Number Of Medicare Beneficiaries With Medical Services |
1020 |
Total Medical Submitted Charge Amount |
1432887.86 |
Total Medical Medicare Allowed Amount |
807280.42 |
Total Medical Medicare Payment Amount |
607744.61 |
Total Medical Medicare Standardized Payment Amount |
608199.1 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
368 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
522 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
820 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
751 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9183 |