National Provider Identifier [NPI]: |
1346269370 |
Last Name Of The Provider |
MESSIHA |
First Name Of The Provider |
MAGDI |
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 |
355 PLACENTIA AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926633311 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3411 |
Number Of Medicare Beneficiaries |
502 |
Total Submitted Charge Amount |
707110 |
Total Medicare Allowed Amount |
326942.33 |
Total Medicare Payment Amount |
252205.92 |
Total Medicare Standardized Payment Amount |
233202.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
700 |
Total Drug Medicare AllowedAmount |
450.65 |
Total Drug Medicare PaymentAmount |
441.6 |
Total Drug Medicare Standardized Payment Amount |
441.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3397 |
Number Of Medicare Beneficiaries With Medical Services |
502 |
Total Medical Submitted Charge Amount |
706410 |
Total Medical Medicare Allowed Amount |
326491.68 |
Total Medical Medicare Payment Amount |
251764.32 |
Total Medical Medicare Standardized Payment Amount |
232761.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
367 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
210 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
56 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
66 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
55 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1114 |