National Provider Identifier [NPI]: |
1457306789 |
Last Name Of The Provider |
YOUSSEF |
First Name Of The Provider |
JIHAD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1429 HIGHWAY 6 SOUTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUGAR LAND |
Zip Code Of The Provider |
774785135 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
3804 |
Number Of Medicare Beneficiaries |
552 |
Total Submitted Charge Amount |
1014445 |
Total Medicare Allowed Amount |
362861.74 |
Total Medicare Payment Amount |
277581.3 |
Total Medicare Standardized Payment Amount |
289785.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
553 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
18950 |
Total Drug Medicare AllowedAmount |
2076.06 |
Total Drug Medicare PaymentAmount |
1888.86 |
Total Drug Medicare Standardized Payment Amount |
1888.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
3251 |
Number Of Medicare Beneficiaries With Medical Services |
552 |
Total Medical Submitted Charge Amount |
995495 |
Total Medical Medicare Allowed Amount |
360785.68 |
Total Medical Medicare Payment Amount |
275692.44 |
Total Medical Medicare Standardized Payment Amount |
287896.86 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
355 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1506 |