National Provider Identifier [NPI]: |
1083765465 |
Last Name Of The Provider |
QUADEER |
First Name Of The Provider |
ABDUL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
816 W CANNON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761043146 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
309 |
Number Of Services |
11121 |
Number Of Medicare Beneficiaries |
2841 |
Total Submitted Charge Amount |
1933933 |
Total Medicare Allowed Amount |
508278.43 |
Total Medicare Payment Amount |
390390.07 |
Total Medicare Standardized Payment Amount |
421966.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6482 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
20874 |
Total Drug Medicare AllowedAmount |
3629.34 |
Total Drug Medicare PaymentAmount |
2845.31 |
Total Drug Medicare Standardized Payment Amount |
2845.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
307 |
Number Of Medical Services |
4639 |
Number Of Medicare Beneficiaries With Medical Services |
2841 |
Total Medical Submitted Charge Amount |
1913059 |
Total Medical Medicare Allowed Amount |
504649.09 |
Total Medical Medicare Payment Amount |
387544.76 |
Total Medical Medicare Standardized Payment Amount |
419120.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
674 |
Number Of Beneficiaries Age 65 to 74 |
1004 |
Number Of Beneficiaries Age 75 to 84 |
789 |
Number Of Beneficiaries Age Greater 84 |
374 |
Number Of Female Beneficiaries |
1528 |
Number Of Male Beneficiaries |
1313 |
Number Of Non Hispanic White Beneficiaries |
2170 |
Number Of Black or African American Beneficiaries |
510 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
114 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1848 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
993 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.5354 |