National Provider Identifier [NPI]: |
1679534630 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
ARIF |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
316 WASHINGTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
RAVENSWOOD |
Zip Code Of The Provider |
261641704 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
7084 |
Number Of Medicare Beneficiaries |
1136 |
Total Submitted Charge Amount |
502361.2 |
Total Medicare Allowed Amount |
374439.76 |
Total Medicare Payment Amount |
259932.68 |
Total Medicare Standardized Payment Amount |
293198.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
364 |
Number Of Medicare Beneficiaries With Drug Services |
264 |
Total Drug Submitted ChargeAmount |
22905 |
Total Drug Medicare AllowedAmount |
6885 |
Total Drug Medicare PaymentAmount |
6202.81 |
Total Drug Medicare Standardized Payment Amount |
6202.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
6720 |
Number Of Medicare Beneficiaries With Medical Services |
1136 |
Total Medical Submitted Charge Amount |
479456.2 |
Total Medical Medicare Allowed Amount |
367554.76 |
Total Medical Medicare Payment Amount |
253729.87 |
Total Medical Medicare Standardized Payment Amount |
286995.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
429 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
818 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
318 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3902 |