National Provider Identifier [NPI]: |
1821288085 |
Last Name Of The Provider |
RASHID |
First Name Of The Provider |
ABDUL |
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 |
700 W FOREST AVE |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383013937 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
6228 |
Number Of Medicare Beneficiaries |
1103 |
Total Submitted Charge Amount |
1116811 |
Total Medicare Allowed Amount |
463687.57 |
Total Medicare Payment Amount |
358229.14 |
Total Medicare Standardized Payment Amount |
385511.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1885 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
48294 |
Total Drug Medicare AllowedAmount |
22571.69 |
Total Drug Medicare PaymentAmount |
17695.72 |
Total Drug Medicare Standardized Payment Amount |
17695.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
4343 |
Number Of Medicare Beneficiaries With Medical Services |
1103 |
Total Medical Submitted Charge Amount |
1068517 |
Total Medical Medicare Allowed Amount |
441115.88 |
Total Medical Medicare Payment Amount |
340533.42 |
Total Medical Medicare Standardized Payment Amount |
367815.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
555 |
Number Of Non Hispanic White Beneficiaries |
981 |
Number Of Black or African American Beneficiaries |
110 |
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 |
821 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
282 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7225 |