National Provider Identifier [NPI]: |
1538262076 |
Last Name Of The Provider |
MELOELAIN |
First Name Of The Provider |
JAMIL |
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 |
509 WILSON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUTAW |
Zip Code Of The Provider |
354621064 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3431 |
Number Of Medicare Beneficiaries |
1207 |
Total Submitted Charge Amount |
365624 |
Total Medicare Allowed Amount |
227576.64 |
Total Medicare Payment Amount |
168678.41 |
Total Medicare Standardized Payment Amount |
180166.6 |
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 |
36 |
Number Of Medical Services |
3431 |
Number Of Medicare Beneficiaries With Medical Services |
1207 |
Total Medical Submitted Charge Amount |
365624 |
Total Medical Medicare Allowed Amount |
227576.64 |
Total Medical Medicare Payment Amount |
168678.41 |
Total Medical Medicare Standardized Payment Amount |
180166.6 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
696 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
629 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
634 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
573 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7131 |