National Provider Identifier [NPI]: |
1245284165 |
Last Name Of The Provider |
NAEEM |
First Name Of The Provider |
MUHAMMAD |
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 |
1617 HEMPHILL ST |
Street Address 2 Of The Provider |
JPS HOSPITAL |
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761044709 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
2270 |
Number Of Medicare Beneficiaries |
724 |
Total Submitted Charge Amount |
1159488.24 |
Total Medicare Allowed Amount |
226690.44 |
Total Medicare Payment Amount |
177305.5 |
Total Medicare Standardized Payment Amount |
182626.18 |
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 |
24 |
Number Of Medical Services |
2270 |
Number Of Medicare Beneficiaries With Medical Services |
724 |
Total Medical Submitted Charge Amount |
1159488.24 |
Total Medical Medicare Allowed Amount |
226690.44 |
Total Medical Medicare Payment Amount |
177305.5 |
Total Medical Medicare Standardized Payment Amount |
182626.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
650 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.0273 |