National Provider Identifier [NPI]: |
1801835897 |
Last Name Of The Provider |
SHEIKH-KHALIL |
First Name Of The Provider |
MAHMOUD |
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 |
501 DURHAM ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BASTROP |
Zip Code Of The Provider |
712205012 |
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 |
102 |
Number Of Services |
7251 |
Number Of Medicare Beneficiaries |
1896 |
Total Submitted Charge Amount |
1650029.75 |
Total Medicare Allowed Amount |
664377.29 |
Total Medicare Payment Amount |
500126.75 |
Total Medicare Standardized Payment Amount |
533767.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
837 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
41730 |
Total Drug Medicare AllowedAmount |
682.89 |
Total Drug Medicare PaymentAmount |
525.45 |
Total Drug Medicare Standardized Payment Amount |
525.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
6414 |
Number Of Medicare Beneficiaries With Medical Services |
1896 |
Total Medical Submitted Charge Amount |
1608299.75 |
Total Medical Medicare Allowed Amount |
663694.4 |
Total Medical Medicare Payment Amount |
499601.3 |
Total Medical Medicare Standardized Payment Amount |
533242.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
425 |
Number Of Beneficiaries Age 65 to 74 |
656 |
Number Of Beneficiaries Age 75 to 84 |
539 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
1093 |
Number Of Male Beneficiaries |
803 |
Number Of Non Hispanic White Beneficiaries |
1181 |
Number Of Black or African American Beneficiaries |
698 |
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 |
969 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
927 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0582 |