National Provider Identifier [NPI]: |
1538252374 |
Last Name Of The Provider |
REHMAN |
First Name Of The Provider |
QAISER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11307 FM 1960 RD W |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770653687 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
28988 |
Number Of Medicare Beneficiaries |
553 |
Total Submitted Charge Amount |
828031 |
Total Medicare Allowed Amount |
514537.86 |
Total Medicare Payment Amount |
390797.27 |
Total Medicare Standardized Payment Amount |
389286.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
26296 |
Number Of Medicare Beneficiaries With Drug Services |
243 |
Total Drug Submitted ChargeAmount |
441469.15 |
Total Drug Medicare AllowedAmount |
278211.62 |
Total Drug Medicare PaymentAmount |
218034.05 |
Total Drug Medicare Standardized Payment Amount |
218034.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2692 |
Number Of Medicare Beneficiaries With Medical Services |
553 |
Total Medical Submitted Charge Amount |
386561.85 |
Total Medical Medicare Allowed Amount |
236326.24 |
Total Medical Medicare Payment Amount |
172763.22 |
Total Medical Medicare Standardized Payment Amount |
171252.07 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
405 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
507 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
34 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3563 |