National Provider Identifier [NPI]: |
1972617181 |
Last Name Of The Provider |
HANIF |
First Name Of The Provider |
NADEEM |
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 |
5668 E STATE ST |
Street Address 2 Of The Provider |
SUITE B600 |
City Of The Provider |
ROCKFORD |
Zip Code Of The Provider |
611082490 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3879 |
Number Of Medicare Beneficiaries |
937 |
Total Submitted Charge Amount |
772918 |
Total Medicare Allowed Amount |
361562.58 |
Total Medicare Payment Amount |
274298.43 |
Total Medicare Standardized Payment Amount |
272052.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
584 |
Total Drug Medicare AllowedAmount |
528.13 |
Total Drug Medicare PaymentAmount |
517.56 |
Total Drug Medicare Standardized Payment Amount |
517.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3853 |
Number Of Medicare Beneficiaries With Medical Services |
937 |
Total Medical Submitted Charge Amount |
772334 |
Total Medical Medicare Allowed Amount |
361034.45 |
Total Medical Medicare Payment Amount |
273780.87 |
Total Medical Medicare Standardized Payment Amount |
271535.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
468 |
Number Of Non Hispanic White Beneficiaries |
858 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
716 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
221 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8245 |