National Provider Identifier [NPI]: |
1992950166 |
Last Name Of The Provider |
KAMRAN |
First Name Of The Provider |
SHAZIA |
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 |
3443 DICKERSON PIKE |
Street Address 2 Of The Provider |
SUITE 580 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372072519 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
4460 |
Number Of Medicare Beneficiaries |
501 |
Total Submitted Charge Amount |
413703 |
Total Medicare Allowed Amount |
165490.75 |
Total Medicare Payment Amount |
124706.82 |
Total Medicare Standardized Payment Amount |
130338.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3277 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
53605 |
Total Drug Medicare AllowedAmount |
17362.34 |
Total Drug Medicare PaymentAmount |
13598.98 |
Total Drug Medicare Standardized Payment Amount |
13598.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1183 |
Number Of Medicare Beneficiaries With Medical Services |
501 |
Total Medical Submitted Charge Amount |
360098 |
Total Medical Medicare Allowed Amount |
148128.41 |
Total Medical Medicare Payment Amount |
111107.84 |
Total Medical Medicare Standardized Payment Amount |
116739.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
415 |
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 |
359 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
51 |
Average HCC Risk Score Of Beneficiaries |
1.7922 |