National Provider Identifier [NPI]: |
1629001797 |
Last Name Of The Provider |
KHALIL |
First Name Of The Provider |
ZAID |
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 |
303 MAPLE AVE W STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
VIENNA |
Zip Code Of The Provider |
221804312 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1530 |
Number Of Medicare Beneficiaries |
332 |
Total Submitted Charge Amount |
194600 |
Total Medicare Allowed Amount |
137698.67 |
Total Medicare Payment Amount |
99103.35 |
Total Medicare Standardized Payment Amount |
87678.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
980 |
Total Drug Medicare AllowedAmount |
174.71 |
Total Drug Medicare PaymentAmount |
141.76 |
Total Drug Medicare Standardized Payment Amount |
141.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1502 |
Number Of Medicare Beneficiaries With Medical Services |
332 |
Total Medical Submitted Charge Amount |
193620 |
Total Medical Medicare Allowed Amount |
137523.96 |
Total Medical Medicare Payment Amount |
98961.59 |
Total Medical Medicare Standardized Payment Amount |
87536.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
224 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0288 |