National Provider Identifier [NPI]: |
1124054390 |
Last Name Of The Provider |
SAEED |
First Name Of The Provider |
SAIMA |
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 |
1300 N 12TH ST |
Street Address 2 Of The Provider |
SUITE 612 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850062848 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
56128 |
Number Of Medicare Beneficiaries |
208 |
Total Submitted Charge Amount |
1369383 |
Total Medicare Allowed Amount |
797121.46 |
Total Medicare Payment Amount |
622995.59 |
Total Medicare Standardized Payment Amount |
623873.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
38 |
Number Of Drug Services |
53793 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
1093838 |
Total Drug Medicare AllowedAmount |
666054.36 |
Total Drug Medicare PaymentAmount |
521852.33 |
Total Drug Medicare Standardized Payment Amount |
521852.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2335 |
Number Of Medicare Beneficiaries With Medical Services |
207 |
Total Medical Submitted Charge Amount |
275545 |
Total Medical Medicare Allowed Amount |
131067.1 |
Total Medical Medicare Payment Amount |
101143.26 |
Total Medical Medicare Standardized Payment Amount |
102021.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
128 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
163 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
179 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.9396 |