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Houssam M Fadlallah

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NPI Number Detailed Information

Provider Information:

Name: Houssam M Fadlallah
Gender: M
Provider License Number If Given: 5601003142

NPI Information:

NPI: 1215922109
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/16/2005

Last Update Date: 5/8/2017

Provider Business Mailing Address:

Address: 6500 SCHAEFER RD SUITE A
Dearborn, MI 48126
Phone Number: 3135847900
Fax Number: 3135844411

Provider Business Practice Location Address:

Address: 6500 SCHAEFER RD SUITE A
Dearborn, MI 48126
Phone Number: 3135847900
Fax Number: 3135844411

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any):
State: MI

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About Houssam M Fadlallah

Houssam M Fadlallah ( HOUSSAM M FADLALLAH ) is Definition Physician Assistant Physician in Dearborn, MI. The NPI Number for Houssam M Fadlallah is 1215922109.
The current location address for Houssam M Fadlallah is 6500 SCHAEFER RD SUITE A Dearborn, MI 48126 and the contact number is 3135847900 and fax number is 3135844411. The mailing address for Houssam M Fadlallah is 6500 SCHAEFER RD SUITE A Dearborn, MI 48126- 3135847900 (mailing address contact number - 3135847900).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Houssam M Fadlallah ?


Answer: The NPI Number for Houssam M Fadlallah is 1215922109

Where is Houssam M Fadlallah located?


Answer: Houssam M Fadlallah is located at 6500 SCHAEFER RD SUITE A Dearborn, MI 48126.

What is the specialty for Houssam M Fadlallah ?


Answer: The Specialty of Houssam M Fadlallah is Definition Physician Assistant Physician.

Are there any online reviews for Houssam M Fadlallah ?


Answer: Not yet!

Are there any other health care providers in Dearborn, MI?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Houssam M Fadlallah

Number of HCPCS 20
Number of Medicare Beneficiaries 217
Number of Services 1134
Total Submitted Charge Amount 224660
Total Medicare Allowed Amount 147438.34
Total Medicare Payment Amount 112014.51
Total Medicare Standardized Payment Amount 108485.04
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 20
Number of Medicare Beneficiaries With Medical 217
Number of Medical Services 1134
Total Medical Submitted Charge Amount 224660
Total Medical Medicare Allowed Amount 147438.34
Total Medical Medicare Payment Amount 112014.51
Total Medical Medicare Standardized Payment Amount 108485.04
Average Age of Beneficiaries 84
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84 54
Number of Beneficiaries Age Greater 84 128
Number of Female Beneficiaries 139
Number of Male Beneficiaries 78
Number of Non-Hispanic White Beneficiaries 204
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 16
Number of Beneficiaries With Medicare Only Entitlement 201
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.21
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.75
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.38
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.5
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.12
Percent (%) of Beneficiaries Identified With Depression 0.53
Percent (%) of Beneficiaries Identified With Diabetes 0.46
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.47
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.43
Percent (%) of Beneficiaries Identified With Osteoporosis 0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.49
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.17
Percent (%) of Beneficiaries Identified With Stroke 0.11
Average HCC Risk Score of Beneficiaries 1.9551

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 9729
Number of Standardized 30-Day Fills 10097.166667
Aggregate Cost Paid for All Claims 517897.86
Number of Day's Supply for All Claims 270975
Number of Medicare Beneficiaries 341
Number of Claims, Including Refills, for Beneficiaries Age 65+ 9303
Including Refills, for Beneficiaries Age 65+ 9661.7666667
Beneficiaries Age 65+ 496440
Number of Day's Supply for All Claims for Beneficaries Age 65+ 258432
Number of Medicare Beneficiaries Age 65+ 316
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1285
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8376
Aggregate Cost Paid for Generic Drugs 150378.62
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 68
Aggregate Cost Paid for Other Drugs 2459.68
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2453
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 104973.96
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 7276
Aggregate Cost Paid for Claims Filled by 412923.9
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1054
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 82791.85
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 8675
by Low-Income Subsidy 435106.01
Total Claims of Opioid Drugs, Including 35
Aggregate Cost Paid for Opioid Drugs 755.84
Opioid Claims 15
Opioid_Tot_Clms divided by the Tot_Clms 0.3597492034
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 270
Aggregate Cost Paid for Antibiotic Drugs 5376.57
Antibiotic Claims 130
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 219
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 34997.16
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 43
Average Age of Beneficiaries 82.841642229
Number of Beneficiaries Age Less Than 65 25
Number of Beneficiaries Age 65 to 74 39
Number of Beneficiaries Age 75 to 84 84
Number of Female Beneficiaries 226
Number of Male Beneficiaries 115
Number of Non-Hispanic White 321
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 300
Average Hierarchical Condition Category 1.9417887452

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Houssam M Fadlallah in Other Directories

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