National Provider Identifier [NPI]: |
1336370816 |
Last Name Of The Provider |
NIAZ |
First Name Of The Provider |
FAIZA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 MICHIGAN ST NE |
Street Address 2 Of The Provider |
SUITE 2200 |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495032515 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
2895 |
Number Of Medicare Beneficiaries |
851 |
Total Submitted Charge Amount |
448625 |
Total Medicare Allowed Amount |
316252.57 |
Total Medicare Payment Amount |
244020.16 |
Total Medicare Standardized Payment Amount |
236879.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
2895 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
448625 |
Total Medical Medicare Allowed Amount |
316252.57 |
Total Medical Medicare Payment Amount |
244020.16 |
Total Medical Medicare Standardized Payment Amount |
236879.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
379 |
Number Of Non Hispanic White Beneficiaries |
566 |
Number Of Black or African American Beneficiaries |
269 |
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 |
508 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.9843 |