National Provider Identifier [NPI]: |
1316916729 |
Last Name Of The Provider |
MAHJOUB |
First Name Of The Provider |
ZAKWAN |
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 |
645 BARCLAY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER HILLS |
Zip Code Of The Provider |
483075804 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
10878 |
Number Of Medicare Beneficiaries |
2759 |
Total Submitted Charge Amount |
2178564.95 |
Total Medicare Allowed Amount |
1188731.67 |
Total Medicare Payment Amount |
904784.1 |
Total Medicare Standardized Payment Amount |
888954.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1118 |
Number Of Medicare Beneficiaries With Drug Services |
286 |
Total Drug Submitted ChargeAmount |
63600 |
Total Drug Medicare AllowedAmount |
54797.6 |
Total Drug Medicare PaymentAmount |
42869.3 |
Total Drug Medicare Standardized Payment Amount |
42869.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
9760 |
Number Of Medicare Beneficiaries With Medical Services |
2759 |
Total Medical Submitted Charge Amount |
2114964.95 |
Total Medical Medicare Allowed Amount |
1133934.07 |
Total Medical Medicare Payment Amount |
861914.8 |
Total Medical Medicare Standardized Payment Amount |
846085.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
329 |
Number Of Beneficiaries Age 65 to 74 |
1000 |
Number Of Beneficiaries Age 75 to 84 |
868 |
Number Of Beneficiaries Age Greater 84 |
562 |
Number Of Female Beneficiaries |
1505 |
Number Of Male Beneficiaries |
1254 |
Number Of Non Hispanic White Beneficiaries |
2416 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
74 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
85 |
Number Of Beneficiaries With Medicare Only Entitlement |
2095 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
664 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8298 |