National Provider Identifier [NPI]: |
1336139310 |
Last Name Of The Provider |
NASEEM |
First Name Of The Provider |
MOHAMMAD |
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 |
1906 BELLEVIEW AVE SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240141838 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
5864 |
Number Of Medicare Beneficiaries |
3535 |
Total Submitted Charge Amount |
958931.83 |
Total Medicare Allowed Amount |
296421.35 |
Total Medicare Payment Amount |
225605.69 |
Total Medicare Standardized Payment Amount |
215693.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
75 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
2831.25 |
Total Drug Medicare AllowedAmount |
80.5 |
Total Drug Medicare PaymentAmount |
63.03 |
Total Drug Medicare Standardized Payment Amount |
63.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
5789 |
Number Of Medicare Beneficiaries With Medical Services |
3535 |
Total Medical Submitted Charge Amount |
956100.58 |
Total Medical Medicare Allowed Amount |
296340.85 |
Total Medical Medicare Payment Amount |
225542.66 |
Total Medical Medicare Standardized Payment Amount |
215630.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
665 |
Number Of Beneficiaries Age 65 to 74 |
1106 |
Number Of Beneficiaries Age 75 to 84 |
1012 |
Number Of Beneficiaries Age Greater 84 |
752 |
Number Of Female Beneficiaries |
2173 |
Number Of Male Beneficiaries |
1362 |
Number Of Non Hispanic White Beneficiaries |
2089 |
Number Of Black or African American Beneficiaries |
1342 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2617 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
918 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8892 |