National Provider Identifier [NPI]: |
1679765234 |
Last Name Of The Provider |
SHAKIR |
First Name Of The Provider |
ADIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1330 POWELL ST |
Street Address 2 Of The Provider |
SUITE 409 |
City Of The Provider |
NORRISTOWN |
Zip Code Of The Provider |
194013353 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
652 |
Number Of Medicare Beneficiaries |
342 |
Total Submitted Charge Amount |
88008 |
Total Medicare Allowed Amount |
56601.43 |
Total Medicare Payment Amount |
41559.73 |
Total Medicare Standardized Payment Amount |
40268.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1419 |
Total Drug Medicare AllowedAmount |
793.38 |
Total Drug Medicare PaymentAmount |
777.48 |
Total Drug Medicare Standardized Payment Amount |
777.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
626 |
Number Of Medicare Beneficiaries With Medical Services |
342 |
Total Medical Submitted Charge Amount |
86589 |
Total Medical Medicare Allowed Amount |
55808.05 |
Total Medical Medicare Payment Amount |
40782.25 |
Total Medical Medicare Standardized Payment Amount |
39490.61 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
183 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
224 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
215 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7438 |