National Provider Identifier [NPI]: |
1174599633 |
Last Name Of The Provider |
TAMER |
First Name Of The Provider |
FADI |
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 |
1150 N 75TH PL |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
661122430 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
3704 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
303614 |
Total Medicare Allowed Amount |
169625.91 |
Total Medicare Payment Amount |
117598.02 |
Total Medicare Standardized Payment Amount |
126242.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
677 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
17886 |
Total Drug Medicare AllowedAmount |
3703.59 |
Total Drug Medicare PaymentAmount |
3440.97 |
Total Drug Medicare Standardized Payment Amount |
3440.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3027 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
285728 |
Total Medical Medicare Allowed Amount |
165922.32 |
Total Medical Medicare Payment Amount |
114157.05 |
Total Medical Medicare Standardized Payment Amount |
122801.35 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
196 |
Number Of Black or African American Beneficiaries |
144 |
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 |
245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3678 |