National Provider Identifier [NPI]: |
1023037488 |
Last Name Of The Provider |
MUSHTAQ |
First Name Of The Provider |
NAUMAN |
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 |
351 DELNOR DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GENEVA |
Zip Code Of The Provider |
601344220 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2132 |
Number Of Medicare Beneficiaries |
988 |
Total Submitted Charge Amount |
608209 |
Total Medicare Allowed Amount |
219281.33 |
Total Medicare Payment Amount |
162161.38 |
Total Medicare Standardized Payment Amount |
154722.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
6783 |
Total Drug Medicare AllowedAmount |
2701.93 |
Total Drug Medicare PaymentAmount |
2034.96 |
Total Drug Medicare Standardized Payment Amount |
2034.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2081 |
Number Of Medicare Beneficiaries With Medical Services |
988 |
Total Medical Submitted Charge Amount |
601426 |
Total Medical Medicare Allowed Amount |
216579.4 |
Total Medical Medicare Payment Amount |
160126.42 |
Total Medical Medicare Standardized Payment Amount |
152687.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
497 |
Number Of Non Hispanic White Beneficiaries |
896 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
869 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5699 |