National Provider Identifier [NPI]: |
1225062359 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
VAQAR |
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 |
8121 NATIONAL AVE |
Street Address 2 Of The Provider |
SUITE 402 |
City Of The Provider |
MIDWEST CITY |
Zip Code Of The Provider |
731107530 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
903 |
Number Of Medicare Beneficiaries |
447 |
Total Submitted Charge Amount |
109598.65 |
Total Medicare Allowed Amount |
71346.36 |
Total Medicare Payment Amount |
50046.75 |
Total Medicare Standardized Payment Amount |
54221.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
2222.52 |
Total Drug Medicare AllowedAmount |
1221.61 |
Total Drug Medicare PaymentAmount |
1197.1 |
Total Drug Medicare Standardized Payment Amount |
1197.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
860 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
107376.13 |
Total Medical Medicare Allowed Amount |
70124.75 |
Total Medical Medicare Payment Amount |
48849.65 |
Total Medical Medicare Standardized Payment Amount |
53024.34 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
291 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
103 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5174 |