National Provider Identifier [NPI]: |
1710040431 |
Last Name Of The Provider |
AKHTER |
First Name Of The Provider |
SHAFINAZ |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3400 SPRUCE ST |
Street Address 2 Of The Provider |
1 MALONEY BUILDING |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191044206 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
47237 |
Number Of Medicare Beneficiaries |
827 |
Total Submitted Charge Amount |
570897.76 |
Total Medicare Allowed Amount |
254592.65 |
Total Medicare Payment Amount |
198121.99 |
Total Medicare Standardized Payment Amount |
178568.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
45170 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
99986.76 |
Total Drug Medicare AllowedAmount |
33523.47 |
Total Drug Medicare PaymentAmount |
26281.48 |
Total Drug Medicare Standardized Payment Amount |
26281.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
2067 |
Number Of Medicare Beneficiaries With Medical Services |
827 |
Total Medical Submitted Charge Amount |
470911 |
Total Medical Medicare Allowed Amount |
221069.18 |
Total Medical Medicare Payment Amount |
171840.51 |
Total Medical Medicare Standardized Payment Amount |
152287.2 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
651 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.843 |