National Provider Identifier [NPI]: |
1619018983 |
Last Name Of The Provider |
YOUNIS |
First Name Of The Provider |
WALID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 S 28TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394017246 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
5874 |
Number Of Medicare Beneficiaries |
1208 |
Total Submitted Charge Amount |
1558076 |
Total Medicare Allowed Amount |
503290.73 |
Total Medicare Payment Amount |
380036.06 |
Total Medicare Standardized Payment Amount |
420137.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1458 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
75072 |
Total Drug Medicare AllowedAmount |
48290.76 |
Total Drug Medicare PaymentAmount |
37424.26 |
Total Drug Medicare Standardized Payment Amount |
37424.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4416 |
Number Of Medicare Beneficiaries With Medical Services |
1208 |
Total Medical Submitted Charge Amount |
1483004 |
Total Medical Medicare Allowed Amount |
454999.97 |
Total Medical Medicare Payment Amount |
342611.8 |
Total Medical Medicare Standardized Payment Amount |
382713.62 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
354 |
Number Of Beneficiaries Age 65 to 74 |
480 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
640 |
Number Of Male Beneficiaries |
568 |
Number Of Non Hispanic White Beneficiaries |
888 |
Number Of Black or African American Beneficiaries |
307 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
726 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
482 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2779 |