National Provider Identifier [NPI]: |
1487760807 |
Last Name Of The Provider |
ARSHAD |
First Name Of The Provider |
ANEES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2771 SILVER CREEK ROAD |
Street Address 2 Of The Provider |
RM 105 |
City Of The Provider |
BULLHEAD CITY |
Zip Code Of The Provider |
864427959 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
5030 |
Number Of Medicare Beneficiaries |
1224 |
Total Submitted Charge Amount |
583880 |
Total Medicare Allowed Amount |
408705.56 |
Total Medicare Payment Amount |
310086.91 |
Total Medicare Standardized Payment Amount |
313166.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
217 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
2170 |
Total Drug Medicare AllowedAmount |
386.42 |
Total Drug Medicare PaymentAmount |
302.9 |
Total Drug Medicare Standardized Payment Amount |
302.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
4813 |
Number Of Medicare Beneficiaries With Medical Services |
1224 |
Total Medical Submitted Charge Amount |
581710 |
Total Medical Medicare Allowed Amount |
408319.14 |
Total Medical Medicare Payment Amount |
309784.01 |
Total Medical Medicare Standardized Payment Amount |
312863.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
542 |
Number Of Beneficiaries Age 75 to 84 |
438 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
624 |
Number Of Male Beneficiaries |
600 |
Number Of Non Hispanic White Beneficiaries |
1123 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1035 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
75 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7692 |