National Provider Identifier [NPI]: |
1013918804 |
Last Name Of The Provider |
SAUDYE |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4640 N MARINE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606405719 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
7036 |
Number Of Medicare Beneficiaries |
1753 |
Total Submitted Charge Amount |
1038710 |
Total Medicare Allowed Amount |
572980.01 |
Total Medicare Payment Amount |
448495.5 |
Total Medicare Standardized Payment Amount |
395372.5 |
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 |
63 |
Number Of Medical Services |
7036 |
Number Of Medicare Beneficiaries With Medical Services |
1753 |
Total Medical Submitted Charge Amount |
1038710 |
Total Medical Medicare Allowed Amount |
572980.01 |
Total Medical Medicare Payment Amount |
448495.5 |
Total Medical Medicare Standardized Payment Amount |
395372.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
348 |
Number Of Beneficiaries Age 65 to 74 |
526 |
Number Of Beneficiaries Age 75 to 84 |
507 |
Number Of Beneficiaries Age Greater 84 |
372 |
Number Of Female Beneficiaries |
937 |
Number Of Male Beneficiaries |
816 |
Number Of Non Hispanic White Beneficiaries |
853 |
Number Of Black or African American Beneficiaries |
580 |
Number Of AsianPacific Islander Beneficiaries |
118 |
Number Of Hispanic Beneficiaries |
163 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
664 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1089 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
65 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
3.0785 |