National Provider Identifier [NPI]: |
1669456562 |
Last Name Of The Provider |
SAHLANI |
First Name Of The Provider |
KAMAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26300 EUCLID AVE |
Street Address 2 Of The Provider |
SUITE 534 |
City Of The Provider |
EUCLID |
Zip Code Of The Provider |
441323708 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2211 |
Number Of Medicare Beneficiaries |
323 |
Total Submitted Charge Amount |
170956 |
Total Medicare Allowed Amount |
124328.59 |
Total Medicare Payment Amount |
90992.14 |
Total Medicare Standardized Payment Amount |
96205.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
3550 |
Total Drug Medicare AllowedAmount |
2212.82 |
Total Drug Medicare PaymentAmount |
2115.04 |
Total Drug Medicare Standardized Payment Amount |
2115.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2097 |
Number Of Medicare Beneficiaries With Medical Services |
323 |
Total Medical Submitted Charge Amount |
167406 |
Total Medical Medicare Allowed Amount |
122115.77 |
Total Medical Medicare Payment Amount |
88877.1 |
Total Medical Medicare Standardized Payment Amount |
94090.91 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
141 |
Number Of Non Hispanic White Beneficiaries |
285 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1869 |