National Provider Identifier [NPI]: |
1750332573 |
Last Name Of The Provider |
MASRI |
First Name Of The Provider |
KALIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3175 W. PROFESSIONAL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY CITY |
Zip Code Of The Provider |
487062823 |
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 |
69 |
Number Of Services |
3296 |
Number Of Medicare Beneficiaries |
982 |
Total Submitted Charge Amount |
604197 |
Total Medicare Allowed Amount |
203894.04 |
Total Medicare Payment Amount |
157522.62 |
Total Medicare Standardized Payment Amount |
162063 |
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 |
69 |
Number Of Medical Services |
3296 |
Number Of Medicare Beneficiaries With Medical Services |
982 |
Total Medical Submitted Charge Amount |
604197 |
Total Medical Medicare Allowed Amount |
203894.04 |
Total Medical Medicare Payment Amount |
157522.62 |
Total Medical Medicare Standardized Payment Amount |
162063 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
363 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
531 |
Number Of Non Hispanic White Beneficiaries |
941 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
708 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
41 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9858 |