National Provider Identifier [NPI]: |
1376597427 |
Last Name Of The Provider |
HAJ-DARWISH |
First Name Of The Provider |
YUSEF |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1210 BOSTON PROVIDENCE TPKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORWOOD |
Zip Code Of The Provider |
020625061 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
188 |
Number Of Services |
15296 |
Number Of Medicare Beneficiaries |
2060 |
Total Submitted Charge Amount |
1697690 |
Total Medicare Allowed Amount |
464352.27 |
Total Medicare Payment Amount |
332081.56 |
Total Medicare Standardized Payment Amount |
308389.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
6003 |
Number Of Medicare Beneficiaries With Drug Services |
502 |
Total Drug Submitted ChargeAmount |
61570 |
Total Drug Medicare AllowedAmount |
2669.55 |
Total Drug Medicare PaymentAmount |
2039.89 |
Total Drug Medicare Standardized Payment Amount |
2039.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
9293 |
Number Of Medicare Beneficiaries With Medical Services |
2060 |
Total Medical Submitted Charge Amount |
1636120 |
Total Medical Medicare Allowed Amount |
461682.72 |
Total Medical Medicare Payment Amount |
330041.67 |
Total Medical Medicare Standardized Payment Amount |
306349.45 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
657 |
Number Of Beneficiaries Age 65 to 74 |
645 |
Number Of Beneficiaries Age 75 to 84 |
503 |
Number Of Beneficiaries Age Greater 84 |
255 |
Number Of Female Beneficiaries |
1327 |
Number Of Male Beneficiaries |
733 |
Number Of Non Hispanic White Beneficiaries |
1851 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
737 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1124 |