National Provider Identifier [NPI]: |
1619187572 |
Last Name Of The Provider |
HUDA |
First Name Of The Provider |
NAJIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4201 ST. ANTOINE |
Street Address 2 Of The Provider |
SUITE 4C |
City Of The Provider |
DETROIT |
Zip Code Of The Provider |
482012153 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
1119 |
Number Of Medicare Beneficiaries |
448 |
Total Submitted Charge Amount |
287937 |
Total Medicare Allowed Amount |
132527.37 |
Total Medicare Payment Amount |
101299.76 |
Total Medicare Standardized Payment Amount |
98217.66 |
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 |
22 |
Number Of Medical Services |
1119 |
Number Of Medicare Beneficiaries With Medical Services |
448 |
Total Medical Submitted Charge Amount |
287937 |
Total Medical Medicare Allowed Amount |
132527.37 |
Total Medical Medicare Payment Amount |
101299.76 |
Total Medical Medicare Standardized Payment Amount |
98217.66 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
170 |
Number Of Black or African American Beneficiaries |
257 |
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 |
214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
234 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
70 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
3.5254 |