National Provider Identifier [NPI]: |
1942253893 |
Last Name Of The Provider |
HASHIMI |
First Name Of The Provider |
MIR |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 AIRPORT BLVD |
Street Address 2 Of The Provider |
SUITE D-330 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366086705 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5272 |
Number Of Medicare Beneficiaries |
1517 |
Total Submitted Charge Amount |
901481 |
Total Medicare Allowed Amount |
375867.2 |
Total Medicare Payment Amount |
285337.29 |
Total Medicare Standardized Payment Amount |
310510.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1588 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
7146 |
Total Drug Medicare AllowedAmount |
4701.72 |
Total Drug Medicare PaymentAmount |
3686.16 |
Total Drug Medicare Standardized Payment Amount |
3686.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3684 |
Number Of Medicare Beneficiaries With Medical Services |
1517 |
Total Medical Submitted Charge Amount |
894335 |
Total Medical Medicare Allowed Amount |
371165.48 |
Total Medical Medicare Payment Amount |
281651.13 |
Total Medical Medicare Standardized Payment Amount |
306823.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
482 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
787 |
Number Of Male Beneficiaries |
730 |
Number Of Non Hispanic White Beneficiaries |
1095 |
Number Of Black or African American Beneficiaries |
394 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
290 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.84 |