National Provider Identifier [NPI]: |
1356547491 |
Last Name Of The Provider |
IQBAL |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
793 EASTERN BYP |
Street Address 2 Of The Provider |
SUITE 216 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
404752422 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
4254 |
Number Of Medicare Beneficiaries |
891 |
Total Submitted Charge Amount |
677410.8 |
Total Medicare Allowed Amount |
332558.9 |
Total Medicare Payment Amount |
259208.93 |
Total Medicare Standardized Payment Amount |
273929.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
213 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
21395.8 |
Total Drug Medicare AllowedAmount |
10461.52 |
Total Drug Medicare PaymentAmount |
10152.75 |
Total Drug Medicare Standardized Payment Amount |
10152.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
4041 |
Number Of Medicare Beneficiaries With Medical Services |
891 |
Total Medical Submitted Charge Amount |
656015 |
Total Medical Medicare Allowed Amount |
322097.38 |
Total Medical Medicare Payment Amount |
249056.18 |
Total Medical Medicare Standardized Payment Amount |
263776.26 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
283 |
Number Of Beneficiaries Age 65 to 74 |
351 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
877 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
492 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
70 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0683 |