National Provider Identifier [NPI]: |
1588611305 |
Last Name Of The Provider |
YOUNIS |
First Name Of The Provider |
LIWA |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10012 KENERLY ROAD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
ST LOUIS |
Zip Code Of The Provider |
63128 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
12494 |
Number Of Medicare Beneficiaries |
2074 |
Total Submitted Charge Amount |
1417083.89 |
Total Medicare Allowed Amount |
502644.71 |
Total Medicare Payment Amount |
382441.05 |
Total Medicare Standardized Payment Amount |
391966 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
6424 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
41990.89 |
Total Drug Medicare AllowedAmount |
9694.01 |
Total Drug Medicare PaymentAmount |
7519.64 |
Total Drug Medicare Standardized Payment Amount |
7519.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
6070 |
Number Of Medicare Beneficiaries With Medical Services |
2074 |
Total Medical Submitted Charge Amount |
1375093 |
Total Medical Medicare Allowed Amount |
492950.7 |
Total Medical Medicare Payment Amount |
374921.41 |
Total Medical Medicare Standardized Payment Amount |
384446.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
631 |
Number Of Beneficiaries Age 75 to 84 |
656 |
Number Of Beneficiaries Age Greater 84 |
453 |
Number Of Female Beneficiaries |
1138 |
Number Of Male Beneficiaries |
936 |
Number Of Non Hispanic White Beneficiaries |
1978 |
Number Of Black or African American Beneficiaries |
49 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1567 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
507 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7421 |