National Provider Identifier [NPI]: |
1740257906 |
Last Name Of The Provider |
HAMO |
First Name Of The Provider |
WAEL |
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 |
1263 TALLADEGA HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SYLACAUGA |
Zip Code Of The Provider |
351501604 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
5247 |
Number Of Medicare Beneficiaries |
891 |
Total Submitted Charge Amount |
661211 |
Total Medicare Allowed Amount |
428846.65 |
Total Medicare Payment Amount |
300992.39 |
Total Medicare Standardized Payment Amount |
331999.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
741 |
Number Of Medicare Beneficiaries With Drug Services |
339 |
Total Drug Submitted ChargeAmount |
2964 |
Total Drug Medicare AllowedAmount |
2473.44 |
Total Drug Medicare PaymentAmount |
1741.63 |
Total Drug Medicare Standardized Payment Amount |
1741.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
4506 |
Number Of Medicare Beneficiaries With Medical Services |
891 |
Total Medical Submitted Charge Amount |
658247 |
Total Medical Medicare Allowed Amount |
426373.21 |
Total Medical Medicare Payment Amount |
299250.76 |
Total Medical Medicare Standardized Payment Amount |
330257.39 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
439 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
578 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
527 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
364 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.1408 |