National Provider Identifier [NPI]: |
1851575039 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
AHMIR |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22285 N PEPPER RD |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
LAKE BARRINGTON |
Zip Code Of The Provider |
600102538 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
5690 |
Number Of Medicare Beneficiaries |
735 |
Total Submitted Charge Amount |
578283 |
Total Medicare Allowed Amount |
247081.9 |
Total Medicare Payment Amount |
185387.96 |
Total Medicare Standardized Payment Amount |
162168.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3832 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
41168 |
Total Drug Medicare AllowedAmount |
20642.03 |
Total Drug Medicare PaymentAmount |
16170.95 |
Total Drug Medicare Standardized Payment Amount |
16170.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1858 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
537115 |
Total Medical Medicare Allowed Amount |
226439.87 |
Total Medical Medicare Payment Amount |
169217.01 |
Total Medical Medicare Standardized Payment Amount |
145997.45 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
399 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
669 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
642 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.5188 |