National Provider Identifier [NPI]: |
1295990596 |
Last Name Of The Provider |
RAHMAN |
First Name Of The Provider |
OBAIDUR |
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 |
1924 ALCOA HIGHWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
37920 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
1513 |
Number Of Medicare Beneficiaries |
628 |
Total Submitted Charge Amount |
517621 |
Total Medicare Allowed Amount |
153490.44 |
Total Medicare Payment Amount |
119991.03 |
Total Medicare Standardized Payment Amount |
126509.27 |
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 |
17 |
Number Of Medical Services |
1513 |
Number Of Medicare Beneficiaries With Medical Services |
628 |
Total Medical Submitted Charge Amount |
517621 |
Total Medical Medicare Allowed Amount |
153490.44 |
Total Medical Medicare Payment Amount |
119991.03 |
Total Medical Medicare Standardized Payment Amount |
126509.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
349 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
606 |
Number Of Black or African American Beneficiaries |
|
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 |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
227 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3099 |