National Provider Identifier [NPI]: |
1689643124 |
Last Name Of The Provider |
NAOUMI |
First Name Of The Provider |
MANHAL |
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 |
31500 DEQUINDRE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARREN |
Zip Code Of The Provider |
480921057 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
5005 |
Number Of Medicare Beneficiaries |
810 |
Total Submitted Charge Amount |
615244 |
Total Medicare Allowed Amount |
480376.54 |
Total Medicare Payment Amount |
371070.19 |
Total Medicare Standardized Payment Amount |
359816.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1140 |
Total Drug Medicare AllowedAmount |
403.92 |
Total Drug Medicare PaymentAmount |
370.21 |
Total Drug Medicare Standardized Payment Amount |
370.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4940 |
Number Of Medicare Beneficiaries With Medical Services |
810 |
Total Medical Submitted Charge Amount |
614104 |
Total Medical Medicare Allowed Amount |
479972.62 |
Total Medical Medicare Payment Amount |
370699.98 |
Total Medical Medicare Standardized Payment Amount |
359446.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
329 |
Number Of Non Hispanic White Beneficiaries |
593 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
72 |
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
414 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.112 |