National Provider Identifier [NPI]: |
1871585679 |
Last Name Of The Provider |
HUSAIN |
First Name Of The Provider |
FARHAT |
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 |
3366 NW EXPRESSWAY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731124462 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
15191 |
Number Of Medicare Beneficiaries |
304 |
Total Submitted Charge Amount |
501033.74 |
Total Medicare Allowed Amount |
275263.85 |
Total Medicare Payment Amount |
203111.06 |
Total Medicare Standardized Payment Amount |
209472.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
14521 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
350689.3 |
Total Drug Medicare AllowedAmount |
204129.5 |
Total Drug Medicare PaymentAmount |
151185.5 |
Total Drug Medicare Standardized Payment Amount |
151185.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
670 |
Number Of Medicare Beneficiaries With Medical Services |
304 |
Total Medical Submitted Charge Amount |
150344.44 |
Total Medical Medicare Allowed Amount |
71134.35 |
Total Medical Medicare Payment Amount |
51925.56 |
Total Medical Medicare Standardized Payment Amount |
58287.37 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
37 |
Average HCC Risk Score Of Beneficiaries |
1.9086 |