National Provider Identifier [NPI]: |
1376602144 |
Last Name Of The Provider |
IMAM |
First Name Of The Provider |
ASHER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
321 W SOUTHLAKE BLVD |
Street Address 2 Of The Provider |
180 |
City Of The Provider |
SOUTHLAKE |
Zip Code Of The Provider |
760926188 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5269 |
Number Of Medicare Beneficiaries |
319 |
Total Submitted Charge Amount |
163441.77 |
Total Medicare Allowed Amount |
151288.7 |
Total Medicare Payment Amount |
112761.43 |
Total Medicare Standardized Payment Amount |
115343.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
4386 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
23533.44 |
Total Drug Medicare AllowedAmount |
23527.28 |
Total Drug Medicare PaymentAmount |
18445.06 |
Total Drug Medicare Standardized Payment Amount |
18445.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
883 |
Number Of Medicare Beneficiaries With Medical Services |
319 |
Total Medical Submitted Charge Amount |
139908.33 |
Total Medical Medicare Allowed Amount |
127761.42 |
Total Medical Medicare Payment Amount |
94316.37 |
Total Medical Medicare Standardized Payment Amount |
96898.07 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.3211 |