National Provider Identifier [NPI]: |
1770592578 |
Last Name Of The Provider |
JAVED |
First Name Of The Provider |
USMAN |
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 |
1207 E HERNDON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203235 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
4172 |
Number Of Medicare Beneficiaries |
1283 |
Total Submitted Charge Amount |
1672978 |
Total Medicare Allowed Amount |
637609.33 |
Total Medicare Payment Amount |
493181.16 |
Total Medicare Standardized Payment Amount |
480999.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
174 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
12775 |
Total Drug Medicare AllowedAmount |
8899.93 |
Total Drug Medicare PaymentAmount |
6977.48 |
Total Drug Medicare Standardized Payment Amount |
6977.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
3998 |
Number Of Medicare Beneficiaries With Medical Services |
1283 |
Total Medical Submitted Charge Amount |
1660203 |
Total Medical Medicare Allowed Amount |
628709.4 |
Total Medical Medicare Payment Amount |
486203.68 |
Total Medical Medicare Standardized Payment Amount |
474021.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
203 |
Number Of Beneficiaries Age 65 to 74 |
425 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
281 |
Number Of Female Beneficiaries |
708 |
Number Of Male Beneficiaries |
575 |
Number Of Non Hispanic White Beneficiaries |
754 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
91 |
Number Of Hispanic Beneficiaries |
345 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
683 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
600 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.0358 |