National Provider Identifier [NPI]: |
1831199058 |
Last Name Of The Provider |
EL-HAJJAOUI |
First Name Of The Provider |
ZOHEIR |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12550 HESPERIA RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
VICTORVILLE |
Zip Code Of The Provider |
923955873 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
1941.5 |
Number Of Medicare Beneficiaries |
680 |
Total Submitted Charge Amount |
144498.6 |
Total Medicare Allowed Amount |
104312.72 |
Total Medicare Payment Amount |
63281.06 |
Total Medicare Standardized Payment Amount |
60846.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
296.5 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
4217.6 |
Total Drug Medicare AllowedAmount |
1556.53 |
Total Drug Medicare PaymentAmount |
1366.23 |
Total Drug Medicare Standardized Payment Amount |
1366.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
1645 |
Number Of Medicare Beneficiaries With Medical Services |
680 |
Total Medical Submitted Charge Amount |
140281 |
Total Medical Medicare Allowed Amount |
102756.19 |
Total Medical Medicare Payment Amount |
61914.83 |
Total Medical Medicare Standardized Payment Amount |
59480.41 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
283 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
409 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
395 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
172 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3488 |