National Provider Identifier [NPI]: |
1922115203 |
Last Name Of The Provider |
YOUNIS |
First Name Of The Provider |
SAMY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4050 BARRANCA PKWY |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
IRVINE |
Zip Code Of The Provider |
926047706 |
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 |
30 |
Number Of Services |
1585 |
Number Of Medicare Beneficiaries |
466 |
Total Submitted Charge Amount |
179682 |
Total Medicare Allowed Amount |
136022.29 |
Total Medicare Payment Amount |
109137.49 |
Total Medicare Standardized Payment Amount |
99068.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
128 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
5486 |
Total Drug Medicare AllowedAmount |
2087.18 |
Total Drug Medicare PaymentAmount |
2022.13 |
Total Drug Medicare Standardized Payment Amount |
2022.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1457 |
Number Of Medicare Beneficiaries With Medical Services |
466 |
Total Medical Submitted Charge Amount |
174196 |
Total Medical Medicare Allowed Amount |
133935.11 |
Total Medical Medicare Payment Amount |
107115.36 |
Total Medical Medicare Standardized Payment Amount |
97045.92 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
340 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1574 |