National Provider Identifier [NPI]: |
1861459927 |
Last Name Of The Provider |
AFRIDI |
First Name Of The Provider |
IMRAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
916 E HIGHWAY 67 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNCANVILLE |
Zip Code Of The Provider |
751372706 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
6502 |
Number Of Medicare Beneficiaries |
698 |
Total Submitted Charge Amount |
1330110.83 |
Total Medicare Allowed Amount |
397076.05 |
Total Medicare Payment Amount |
297630.01 |
Total Medicare Standardized Payment Amount |
301495.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3535 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
79407.63 |
Total Drug Medicare AllowedAmount |
26002.26 |
Total Drug Medicare PaymentAmount |
19869.83 |
Total Drug Medicare Standardized Payment Amount |
19869.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2967 |
Number Of Medicare Beneficiaries With Medical Services |
698 |
Total Medical Submitted Charge Amount |
1250703.2 |
Total Medical Medicare Allowed Amount |
371073.79 |
Total Medical Medicare Payment Amount |
277760.18 |
Total Medical Medicare Standardized Payment Amount |
281625.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
311 |
Number Of Non Hispanic White Beneficiaries |
334 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.5551 |