National Provider Identifier [NPI]: |
1588654149 |
Last Name Of The Provider |
SINGH |
First Name Of The Provider |
IQBAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1453 E BERT KOUNS INDUSTRIAL LOOP |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711056800 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5060 |
Number Of Medicare Beneficiaries |
1173 |
Total Submitted Charge Amount |
896143 |
Total Medicare Allowed Amount |
368298.42 |
Total Medicare Payment Amount |
270034.48 |
Total Medicare Standardized Payment Amount |
293613.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
160 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
9880 |
Total Drug Medicare AllowedAmount |
8446.63 |
Total Drug Medicare PaymentAmount |
6495.89 |
Total Drug Medicare Standardized Payment Amount |
6495.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4900 |
Number Of Medicare Beneficiaries With Medical Services |
1173 |
Total Medical Submitted Charge Amount |
886263 |
Total Medical Medicare Allowed Amount |
359851.79 |
Total Medical Medicare Payment Amount |
263538.59 |
Total Medical Medicare Standardized Payment Amount |
287118.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
517 |
Number Of Beneficiaries Age 75 to 84 |
378 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
520 |
Number Of Non Hispanic White Beneficiaries |
884 |
Number Of Black or African American Beneficiaries |
258 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
953 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
220 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.605 |