National Provider Identifier [NPI]: |
1386739571 |
Last Name Of The Provider |
EL-CHAMI |
First Name Of The Provider |
MIKHAEL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1365 CLIFTON RD NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303221013 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
4296 |
Number Of Medicare Beneficiaries |
2123 |
Total Submitted Charge Amount |
1439969 |
Total Medicare Allowed Amount |
336076.35 |
Total Medicare Payment Amount |
255295 |
Total Medicare Standardized Payment Amount |
259658.03 |
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 |
96 |
Number Of Medical Services |
4296 |
Number Of Medicare Beneficiaries With Medical Services |
2123 |
Total Medical Submitted Charge Amount |
1439969 |
Total Medical Medicare Allowed Amount |
336076.35 |
Total Medical Medicare Payment Amount |
255295 |
Total Medical Medicare Standardized Payment Amount |
259658.03 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
392 |
Number Of Beneficiaries Age 65 to 74 |
760 |
Number Of Beneficiaries Age 75 to 84 |
667 |
Number Of Beneficiaries Age Greater 84 |
304 |
Number Of Female Beneficiaries |
954 |
Number Of Male Beneficiaries |
1169 |
Number Of Non Hispanic White Beneficiaries |
1259 |
Number Of Black or African American Beneficiaries |
778 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
1606 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
517 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.4086 |