Dr. Mamdouh H Hassaballa

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Mamdouh H Hassaballa
Gender:	M
Provider License Number If Given:	36069096

NPI Information:

NPI:	1003815069
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/20/2005
Last Update Date:	12/16/2015

Provider Business Mailing Address:

Address:	1105 MILWAUKEE AVE Riverwoods, IL 60015
Phone Number:	8473255110
Fax Number:	8473255114

Provider Business Practice Location Address:

Address:	1105 MILWAUKEE AVE Riverwoods, IL 60015
Phone Number:	8473255110
Fax Number:	8473255114

Provider Taxonomy:

Primary:	208D00000X
Secondary (if any):
State:	IL

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About Dr. Mamdouh H Hassaballa

Dr. Mamdouh H Hassaballa (DR. MAMDOUH H HASSABALLA ) is Definition General Practice Physician in Riverwoods, IL. The NPI Number for Dr. Mamdouh H Hassaballa is 1003815069.

The current location address for Dr. Mamdouh H Hassaballa is 1105 MILWAUKEE AVE Riverwoods, IL 60015 and the contact number is 8473255110 and fax number is 8473255114. The mailing address for Dr. Mamdouh H Hassaballa is 1105 MILWAUKEE AVE Riverwoods, IL 60015- 8473255110 (mailing address contact number - 8473255110).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Mamdouh H Hassaballa ?

Answer: The NPI Number for Dr. Mamdouh H Hassaballa is 1003815069

Where is Dr. Mamdouh H Hassaballa located?

Answer: Dr. Mamdouh H Hassaballa is located at 1105 MILWAUKEE AVE Riverwoods, IL 60015.

What is the specialty for Dr. Mamdouh H Hassaballa ?

Answer: The Specialty of Dr. Mamdouh H Hassaballa is Definition General Practice Physician.

Are there any online reviews for Dr. Mamdouh H Hassaballa ?

Answer: Not yet!

Are there any other health care providers in Riverwoods, IL?

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 Dr. Mamdouh H Hassaballa

Number of HCPCS	7
Number of Medicare Beneficiaries	210
Number of Services	606
Total Submitted Charge Amount	92495
Total Medicare Allowed Amount	64130.29
Total Medicare Payment Amount	43957.88
Total Medicare Standardized Payment Amount	40795.86
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	7
Number of Medicare Beneficiaries With Medical	210
Number of Medical Services	606
Total Medical Submitted Charge Amount	92495
Total Medical Medicare Allowed Amount	64130.29
Total Medical Medicare Payment Amount	43957.88
Total Medical Medicare Standardized Payment Amount	40795.86
Average Age of Beneficiaries	61
Number of Beneficiaries Age Less 65	122
Number of Beneficiaries Age 65 to 74	60
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	79
Number of Male Beneficiaries	131
Number of Non-Hispanic White Beneficiaries	122
Number of Black or African American Beneficiaries	64
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.05
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.42
Percent (%) of Beneficiaries Identified With Asthma	0.16
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.35
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.3
Percent (%) of Beneficiaries Identified With Depression	0.7
Percent (%) of Beneficiaries Identified With Diabetes	0.49
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.66
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.24
Percent (%) of Beneficiaries Identified With Osteoporosis	0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.75
Percent (%) of Beneficiaries Identified With Stroke	0.13
Average HCC Risk Score of Beneficiaries	2.2098

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	General Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	9290
Number of Standardized 30-Day Fills	9362.6333333
Aggregate Cost Paid for All Claims	521694.67
Number of Day's Supply for All Claims	215992
Number of Medicare Beneficiaries	334
Number of Claims, Including Refills, for Beneficiaries Age 65+	4462
Including Refills, for Beneficiaries Age 65+	4488.3333333
Beneficiaries Age 65+	229112.83
Number of Day's Supply for All Claims for Beneficaries Age 65+	106107
Number of Medicare Beneficiaries Age 65+	140
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	1287
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	7911
Aggregate Cost Paid for Generic Drugs	220395.38
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	92
Aggregate Cost Paid for Other Drugs	3369.97
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	2598
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	142256.64
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	6692
Aggregate Cost Paid for Claims Filled by	379438.03
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	9241
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	519719.37
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	49
by Low-Income Subsidy	1975.3
Total Claims of Opioid Drugs, Including	54
Aggregate Cost Paid for Opioid Drugs	667.59
Opioid Claims	22
Opioid_Tot_Clms divided by the Tot_Clms	0.581270183
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	185
Aggregate Cost Paid for Antibiotic Drugs	25739.93
Antibiotic Claims	62
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	226
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	57562.96
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	35
Average Age of Beneficiaries	61.149700599
Number of Beneficiaries Age Less Than 65	194
Number of Beneficiaries Age 65 to 74	102
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	131
Number of Male Beneficiaries	203
Number of Non-Hispanic White	208
Number of Black or African American	85
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	28
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	2.1985587844

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