National Provider Identifier [NPI]: |
1568673226 |
Last Name Of The Provider |
SAIM |
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 |
3604 LIVE OAK ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752046168 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
5265 |
Number Of Medicare Beneficiaries |
757 |
Total Submitted Charge Amount |
443488 |
Total Medicare Allowed Amount |
208483.06 |
Total Medicare Payment Amount |
156592.04 |
Total Medicare Standardized Payment Amount |
162666.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2615 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
64319 |
Total Drug Medicare AllowedAmount |
17078.42 |
Total Drug Medicare PaymentAmount |
13434.24 |
Total Drug Medicare Standardized Payment Amount |
13434.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2650 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
379169 |
Total Medical Medicare Allowed Amount |
191404.64 |
Total Medical Medicare Payment Amount |
143157.8 |
Total Medical Medicare Standardized Payment Amount |
149232.37 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
523 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
313 |
Number Of Black or African American Beneficiaries |
248 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
147 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
539 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
20 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
4.0356 |