National Provider Identifier [NPI]: |
1366460180 |
Last Name Of The Provider |
SARWAR |
First Name Of The Provider |
MOHAMMAD |
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 |
2704 N GALLOWAY AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MESQUITE |
Zip Code Of The Provider |
751506378 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
2251 |
Number Of Medicare Beneficiaries |
1616 |
Total Submitted Charge Amount |
128208 |
Total Medicare Allowed Amount |
43042.91 |
Total Medicare Payment Amount |
31621.07 |
Total Medicare Standardized Payment Amount |
31999.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
2251 |
Number Of Medicare Beneficiaries With Medical Services |
1616 |
Total Medical Submitted Charge Amount |
128208 |
Total Medical Medicare Allowed Amount |
43042.91 |
Total Medical Medicare Payment Amount |
31621.07 |
Total Medical Medicare Standardized Payment Amount |
31999.19 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
558 |
Number Of Beneficiaries Age 65 to 74 |
621 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
766 |
Number Of Male Beneficiaries |
850 |
Number Of Non Hispanic White Beneficiaries |
802 |
Number Of Black or African American Beneficiaries |
487 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
267 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
989 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
627 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.8236 |