National Provider Identifier [NPI]: |
1255431276 |
Last Name Of The Provider |
ADHAMI |
First Name Of The Provider |
KOUROSH |
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 |
400 W MAIN ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BABYLON |
Zip Code Of The Provider |
117023012 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
2082 |
Number Of Medicare Beneficiaries |
818 |
Total Submitted Charge Amount |
743150 |
Total Medicare Allowed Amount |
261626.54 |
Total Medicare Payment Amount |
193123.5 |
Total Medicare Standardized Payment Amount |
171821.01 |
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 |
26 |
Number Of Medical Services |
2082 |
Number Of Medicare Beneficiaries With Medical Services |
818 |
Total Medical Submitted Charge Amount |
743150 |
Total Medical Medicare Allowed Amount |
261626.54 |
Total Medical Medicare Payment Amount |
193123.5 |
Total Medical Medicare Standardized Payment Amount |
171821.01 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
486 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
621 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
565 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
253 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8829 |