National Provider Identifier [NPI]: |
1972596757 |
Last Name Of The Provider |
NAUSHAD |
First Name Of The Provider |
ABDUL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
190 INDUSTRIAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FESTUS |
Zip Code Of The Provider |
630284133 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
4957 |
Number Of Medicare Beneficiaries |
1243 |
Total Submitted Charge Amount |
1416815 |
Total Medicare Allowed Amount |
479763.98 |
Total Medicare Payment Amount |
375954.54 |
Total Medicare Standardized Payment Amount |
397496.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
293 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
10784 |
Total Drug Medicare AllowedAmount |
2829.21 |
Total Drug Medicare PaymentAmount |
1816.86 |
Total Drug Medicare Standardized Payment Amount |
1816.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4664 |
Number Of Medicare Beneficiaries With Medical Services |
1243 |
Total Medical Submitted Charge Amount |
1406031 |
Total Medical Medicare Allowed Amount |
476934.77 |
Total Medical Medicare Payment Amount |
374137.68 |
Total Medical Medicare Standardized Payment Amount |
395679.93 |
Average Age Of Beneficiaries |
55 |
Number Of Beneficiaries Age Less65 |
981 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
701 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
1179 |
Number Of Black or African American Beneficiaries |
40 |
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 |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
858 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
3 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.2908 |