National Provider Identifier [NPI]: |
1366546665 |
Last Name Of The Provider |
QASIMYAR |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5048 W. NORTHERN AVE |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
853011548 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
1123 |
Number Of Medicare Beneficiaries |
332 |
Total Submitted Charge Amount |
143526 |
Total Medicare Allowed Amount |
80828.84 |
Total Medicare Payment Amount |
57775.55 |
Total Medicare Standardized Payment Amount |
58901.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
1886 |
Total Drug Medicare AllowedAmount |
709.55 |
Total Drug Medicare PaymentAmount |
654.02 |
Total Drug Medicare Standardized Payment Amount |
654.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
967 |
Number Of Medicare Beneficiaries With Medical Services |
332 |
Total Medical Submitted Charge Amount |
141640 |
Total Medical Medicare Allowed Amount |
80119.29 |
Total Medical Medicare Payment Amount |
57121.53 |
Total Medical Medicare Standardized Payment Amount |
58247.67 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
217 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
191 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.133 |