National Provider Identifier [NPI]: |
1982604476 |
Last Name Of The Provider |
ASLAMY |
First Name Of The Provider |
WAZHMA |
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 |
340 E PALM LN |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850044603 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4030 |
Number Of Medicare Beneficiaries |
1491 |
Total Submitted Charge Amount |
467366 |
Total Medicare Allowed Amount |
282267.94 |
Total Medicare Payment Amount |
212739.45 |
Total Medicare Standardized Payment Amount |
214553.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
10458 |
Total Drug Medicare AllowedAmount |
5944.61 |
Total Drug Medicare PaymentAmount |
4660.56 |
Total Drug Medicare Standardized Payment Amount |
4660.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3916 |
Number Of Medicare Beneficiaries With Medical Services |
1491 |
Total Medical Submitted Charge Amount |
456908 |
Total Medical Medicare Allowed Amount |
276323.33 |
Total Medical Medicare Payment Amount |
208078.89 |
Total Medical Medicare Standardized Payment Amount |
209893 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
172 |
Number Of Beneficiaries Age 65 to 74 |
734 |
Number Of Beneficiaries Age 75 to 84 |
413 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
768 |
Number Of Male Beneficiaries |
723 |
Number Of Non Hispanic White Beneficiaries |
1238 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
128 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1262 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.6143 |