National Provider Identifier [NPI]: |
1962430595 |
Last Name Of The Provider |
ZAFAR |
First Name Of The Provider |
AHSAN |
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 |
2000 SOUTH BROAD ST |
Street Address 2 Of The Provider |
CAPITOL OPEN MRI AND IMAGING |
City Of The Provider |
HAMILTON |
Zip Code Of The Provider |
08610 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
2485 |
Number Of Medicare Beneficiaries |
1536 |
Total Submitted Charge Amount |
1810147.5 |
Total Medicare Allowed Amount |
479536.85 |
Total Medicare Payment Amount |
362667.88 |
Total Medicare Standardized Payment Amount |
326814.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
223 |
Number Of Medicare Beneficiaries With Drug Services |
201 |
Total Drug Submitted ChargeAmount |
33760 |
Total Drug Medicare AllowedAmount |
321.15 |
Total Drug Medicare PaymentAmount |
252.52 |
Total Drug Medicare Standardized Payment Amount |
252.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
2262 |
Number Of Medicare Beneficiaries With Medical Services |
1532 |
Total Medical Submitted Charge Amount |
1776387.5 |
Total Medical Medicare Allowed Amount |
479215.7 |
Total Medical Medicare Payment Amount |
362415.36 |
Total Medical Medicare Standardized Payment Amount |
326561.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
616 |
Number Of Beneficiaries Age 75 to 84 |
524 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
1041 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
925 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
550 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1074 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
462 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2718 |