National Provider Identifier [NPI]: |
1699855130 |
Last Name Of The Provider |
SALEEM |
First Name Of The Provider |
ASGAR |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
900 CATON AVE |
Street Address 2 Of The Provider |
BOX 234 DIAGNOSTIC IMAGING |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212295201 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
6082 |
Number Of Medicare Beneficiaries |
3804 |
Total Submitted Charge Amount |
1294419.12 |
Total Medicare Allowed Amount |
378727.51 |
Total Medicare Payment Amount |
284109.97 |
Total Medicare Standardized Payment Amount |
269942.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
4255 |
Total Drug Medicare AllowedAmount |
135.14 |
Total Drug Medicare PaymentAmount |
104.31 |
Total Drug Medicare Standardized Payment Amount |
104.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
148 |
Number Of Medical Services |
5969 |
Number Of Medicare Beneficiaries With Medical Services |
3804 |
Total Medical Submitted Charge Amount |
1290164.12 |
Total Medical Medicare Allowed Amount |
378592.37 |
Total Medical Medicare Payment Amount |
284005.66 |
Total Medical Medicare Standardized Payment Amount |
269837.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
701 |
Number Of Beneficiaries Age 65 to 74 |
1282 |
Number Of Beneficiaries Age 75 to 84 |
1105 |
Number Of Beneficiaries Age Greater 84 |
716 |
Number Of Female Beneficiaries |
2406 |
Number Of Male Beneficiaries |
1398 |
Number Of Non Hispanic White Beneficiaries |
2299 |
Number Of Black or African American Beneficiaries |
1382 |
Number Of AsianPacific Islander Beneficiaries |
59 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2874 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
930 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.809 |