National Provider Identifier [NPI]: |
1134181910 |
Last Name Of The Provider |
GHAWJI |
First Name Of The Provider |
MAHER |
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 |
6027 WALNUT GROVE RD |
Street Address 2 Of The Provider |
SUITE 307 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202145 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
13802 |
Number Of Medicare Beneficiaries |
1464 |
Total Submitted Charge Amount |
1039885 |
Total Medicare Allowed Amount |
545444.45 |
Total Medicare Payment Amount |
401015.2 |
Total Medicare Standardized Payment Amount |
382545.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3820 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
77125 |
Total Drug Medicare AllowedAmount |
55308.72 |
Total Drug Medicare PaymentAmount |
42468.61 |
Total Drug Medicare Standardized Payment Amount |
42468.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
9982 |
Number Of Medicare Beneficiaries With Medical Services |
1464 |
Total Medical Submitted Charge Amount |
962760 |
Total Medical Medicare Allowed Amount |
490135.73 |
Total Medical Medicare Payment Amount |
358546.59 |
Total Medical Medicare Standardized Payment Amount |
340076.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
232 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
466 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
888 |
Number Of Male Beneficiaries |
576 |
Number Of Non Hispanic White Beneficiaries |
1118 |
Number Of Black or African American Beneficiaries |
309 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7743 |