National Provider Identifier [NPI]: |
1457396632 |
Last Name Of The Provider |
REHMAN |
First Name Of The Provider |
ZIA |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
521 MOYE BLVD FL 1 |
Street Address 2 Of The Provider |
ECU PHYSICIANS PULMONARY /CRITICAL CARE |
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
278342849 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3431 |
Number Of Medicare Beneficiaries |
1065 |
Total Submitted Charge Amount |
1248314.4 |
Total Medicare Allowed Amount |
341248.22 |
Total Medicare Payment Amount |
263757.16 |
Total Medicare Standardized Payment Amount |
274597.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1187 |
Total Drug Medicare AllowedAmount |
582.99 |
Total Drug Medicare PaymentAmount |
544.88 |
Total Drug Medicare Standardized Payment Amount |
544.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3404 |
Number Of Medicare Beneficiaries With Medical Services |
1064 |
Total Medical Submitted Charge Amount |
1247127.4 |
Total Medical Medicare Allowed Amount |
340665.23 |
Total Medical Medicare Payment Amount |
263212.28 |
Total Medical Medicare Standardized Payment Amount |
274052.59 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
421 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
509 |
Number Of Black or African American Beneficiaries |
537 |
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 |
557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
508 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4757 |