National Provider Identifier [NPI]: |
1114980174 |
Last Name Of The Provider |
QURAISHI |
First Name Of The Provider |
HAMID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6196 OXON HILL RD |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
OXON HILL |
Zip Code Of The Provider |
207453100 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2010 |
Number Of Medicare Beneficiaries |
208 |
Total Submitted Charge Amount |
263477 |
Total Medicare Allowed Amount |
112412.67 |
Total Medicare Payment Amount |
82821.13 |
Total Medicare Standardized Payment Amount |
68065.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
4875 |
Total Drug Medicare AllowedAmount |
374.02 |
Total Drug Medicare PaymentAmount |
287.25 |
Total Drug Medicare Standardized Payment Amount |
287.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
1914 |
Number Of Medicare Beneficiaries With Medical Services |
208 |
Total Medical Submitted Charge Amount |
258602 |
Total Medical Medicare Allowed Amount |
112038.65 |
Total Medical Medicare Payment Amount |
82533.88 |
Total Medical Medicare Standardized Payment Amount |
67778.61 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
139 |
Number Of Male Beneficiaries |
69 |
Number Of Non Hispanic White Beneficiaries |
15 |
Number Of Black or African American Beneficiaries |
179 |
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 |
167 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.121 |