National Provider Identifier [NPI]: |
1982631875 |
Last Name Of The Provider |
SHEIKH |
First Name Of The Provider |
ASRAR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17648 MORSE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOWELL |
Zip Code Of The Provider |
463561420 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
3859 |
Number Of Medicare Beneficiaries |
668 |
Total Submitted Charge Amount |
756356.05 |
Total Medicare Allowed Amount |
404697.92 |
Total Medicare Payment Amount |
301587.51 |
Total Medicare Standardized Payment Amount |
311070.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
15130 |
Total Drug Medicare AllowedAmount |
3210.22 |
Total Drug Medicare PaymentAmount |
2559.3 |
Total Drug Medicare Standardized Payment Amount |
2559.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
3744 |
Number Of Medicare Beneficiaries With Medical Services |
668 |
Total Medical Submitted Charge Amount |
741226.05 |
Total Medical Medicare Allowed Amount |
401487.7 |
Total Medical Medicare Payment Amount |
299028.21 |
Total Medical Medicare Standardized Payment Amount |
308511.67 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
177 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
394 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
526 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
416 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
252 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.7449 |