National Provider Identifier [NPI]: |
1679572556 |
Last Name Of The Provider |
BARRI |
First Name Of The Provider |
YOUSRI |
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 |
411 NORTH WASHINGON AVE |
Street Address 2 Of The Provider |
SUITE 7000 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752461791 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
1801 |
Number Of Medicare Beneficiaries |
481 |
Total Submitted Charge Amount |
501450 |
Total Medicare Allowed Amount |
190446.56 |
Total Medicare Payment Amount |
144972.87 |
Total Medicare Standardized Payment Amount |
146784.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
255 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
10997 |
Total Drug Medicare AllowedAmount |
2930.54 |
Total Drug Medicare PaymentAmount |
2328.95 |
Total Drug Medicare Standardized Payment Amount |
2328.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1546 |
Number Of Medicare Beneficiaries With Medical Services |
481 |
Total Medical Submitted Charge Amount |
490453 |
Total Medical Medicare Allowed Amount |
187516.02 |
Total Medical Medicare Payment Amount |
142643.92 |
Total Medical Medicare Standardized Payment Amount |
144455.22 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
317 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
201 |
Number Of Male Beneficiaries |
280 |
Number Of Non Hispanic White Beneficiaries |
208 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
335 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
4.5776 |