National Provider Identifier [NPI]: |
1528033362 |
Last Name Of The Provider |
EL-FEKY |
First Name Of The Provider |
WALEED |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6301 GASTON AVE |
Street Address 2 Of The Provider |
SUITE 100 WEST TOWER |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752143922 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
22775 |
Number Of Medicare Beneficiaries |
809 |
Total Submitted Charge Amount |
922620 |
Total Medicare Allowed Amount |
622222.97 |
Total Medicare Payment Amount |
458917.29 |
Total Medicare Standardized Payment Amount |
462389.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
19980 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
259505 |
Total Drug Medicare AllowedAmount |
178227.99 |
Total Drug Medicare PaymentAmount |
132096.25 |
Total Drug Medicare Standardized Payment Amount |
132096.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2795 |
Number Of Medicare Beneficiaries With Medical Services |
809 |
Total Medical Submitted Charge Amount |
663115 |
Total Medical Medicare Allowed Amount |
443994.98 |
Total Medical Medicare Payment Amount |
326821.04 |
Total Medical Medicare Standardized Payment Amount |
330293.5 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
621 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
700 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.3365 |