National Provider Identifier [NPI]: |
1366716821 |
Last Name Of The Provider |
RASHID |
First Name Of The Provider |
ASMA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
80 OLD RIVERHEAD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESTHAMPTON BEACH |
Zip Code Of The Provider |
119781401 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
175 |
Number Of Medicare Beneficiaries |
98 |
Total Submitted Charge Amount |
25370.97 |
Total Medicare Allowed Amount |
13755.22 |
Total Medicare Payment Amount |
10534.55 |
Total Medicare Standardized Payment Amount |
9146.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
272 |
Total Drug Medicare AllowedAmount |
51.53 |
Total Drug Medicare PaymentAmount |
49.72 |
Total Drug Medicare Standardized Payment Amount |
49.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
163 |
Number Of Medicare Beneficiaries With Medical Services |
98 |
Total Medical Submitted Charge Amount |
25098.97 |
Total Medical Medicare Allowed Amount |
13703.69 |
Total Medical Medicare Payment Amount |
10484.83 |
Total Medical Medicare Standardized Payment Amount |
9096.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
44 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
61 |
Number Of Male Beneficiaries |
37 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
19 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9157 |