National Provider Identifier [NPI]: |
1235236258 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
AMAN |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16663 MIDLAND DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SHAWNEE |
Zip Code Of The Provider |
662173042 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3720 |
Number Of Medicare Beneficiaries |
853 |
Total Submitted Charge Amount |
630274.36 |
Total Medicare Allowed Amount |
323283 |
Total Medicare Payment Amount |
245618.51 |
Total Medicare Standardized Payment Amount |
261639.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3720 |
Number Of Medicare Beneficiaries With Medical Services |
853 |
Total Medical Submitted Charge Amount |
630274.36 |
Total Medical Medicare Allowed Amount |
323283 |
Total Medical Medicare Payment Amount |
245618.51 |
Total Medical Medicare Standardized Payment Amount |
261639.15 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
614 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
575 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
278 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.4071 |