National Provider Identifier [NPI]: |
1407897093 |
Last Name Of The Provider |
HASEEB |
First Name Of The Provider |
ABDUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1791 E FIR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203840 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
191 |
Number Of Services |
460232 |
Number Of Medicare Beneficiaries |
1057 |
Total Submitted Charge Amount |
12903881.79 |
Total Medicare Allowed Amount |
4257145.48 |
Total Medicare Payment Amount |
3333488.46 |
Total Medicare Standardized Payment Amount |
3312750.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
88 |
Number Of Drug Services |
436419 |
Number Of Medicare Beneficiaries With Drug Services |
553 |
Total Drug Submitted ChargeAmount |
9343949.28 |
Total Drug Medicare AllowedAmount |
2922703.16 |
Total Drug Medicare PaymentAmount |
2278956.24 |
Total Drug Medicare Standardized Payment Amount |
2278956.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
23813 |
Number Of Medicare Beneficiaries With Medical Services |
1055 |
Total Medical Submitted Charge Amount |
3559932.51 |
Total Medical Medicare Allowed Amount |
1334442.32 |
Total Medical Medicare Payment Amount |
1054532.22 |
Total Medical Medicare Standardized Payment Amount |
1033793.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
432 |
Number Of Beneficiaries Age 75 to 84 |
334 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
442 |
Number Of Non Hispanic White Beneficiaries |
620 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
285 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
422 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.1317 |