National Provider Identifier [NPI]: |
1073541512 |
Last Name Of The Provider |
ALAM |
First Name Of The Provider |
SYED |
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 |
2901 SILLECT AVE |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933086370 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
11755 |
Number Of Medicare Beneficiaries |
1264 |
Total Submitted Charge Amount |
1436122 |
Total Medicare Allowed Amount |
868332.93 |
Total Medicare Payment Amount |
652143.58 |
Total Medicare Standardized Payment Amount |
633440.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3434 |
Number Of Medicare Beneficiaries With Drug Services |
558 |
Total Drug Submitted ChargeAmount |
78546 |
Total Drug Medicare AllowedAmount |
13242.66 |
Total Drug Medicare PaymentAmount |
12092.98 |
Total Drug Medicare Standardized Payment Amount |
12092.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
8321 |
Number Of Medicare Beneficiaries With Medical Services |
1264 |
Total Medical Submitted Charge Amount |
1357576 |
Total Medical Medicare Allowed Amount |
855090.27 |
Total Medical Medicare Payment Amount |
640050.6 |
Total Medical Medicare Standardized Payment Amount |
621347.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
489 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
696 |
Number Of Male Beneficiaries |
568 |
Number Of Non Hispanic White Beneficiaries |
855 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
286 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
750 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
514 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
55 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2627 |