National Provider Identifier [NPI]: |
1306803564 |
Last Name Of The Provider |
KHALAF |
First Name Of The Provider |
RAMIZ |
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 |
4200 HOUMA BLVD |
Street Address 2 Of The Provider |
EMERGENCY DEPARTMENT |
City Of The Provider |
METAIRIE |
Zip Code Of The Provider |
700062970 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
911 |
Number Of Medicare Beneficiaries |
788 |
Total Submitted Charge Amount |
647497.96 |
Total Medicare Allowed Amount |
134387.25 |
Total Medicare Payment Amount |
102517.1 |
Total Medicare Standardized Payment Amount |
102272.02 |
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 |
27 |
Number Of Medical Services |
911 |
Number Of Medicare Beneficiaries With Medical Services |
788 |
Total Medical Submitted Charge Amount |
647497.96 |
Total Medical Medicare Allowed Amount |
134387.25 |
Total Medical Medicare Payment Amount |
102517.1 |
Total Medical Medicare Standardized Payment Amount |
102272.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
241 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
590 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0622 |