National Provider Identifier [NPI]: |
1942470042 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
ADNAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
703 N MCEWAN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLARE |
Zip Code Of The Provider |
486171440 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
1387 |
Number Of Medicare Beneficiaries |
333 |
Total Submitted Charge Amount |
153392.5 |
Total Medicare Allowed Amount |
95623.74 |
Total Medicare Payment Amount |
69133.74 |
Total Medicare Standardized Payment Amount |
71724.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
327 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
3806.5 |
Total Drug Medicare AllowedAmount |
2315.32 |
Total Drug Medicare PaymentAmount |
1744.22 |
Total Drug Medicare Standardized Payment Amount |
1744.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1060 |
Number Of Medicare Beneficiaries With Medical Services |
333 |
Total Medical Submitted Charge Amount |
149586 |
Total Medical Medicare Allowed Amount |
93308.42 |
Total Medical Medicare Payment Amount |
67389.52 |
Total Medical Medicare Standardized Payment Amount |
69980.56 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
313 |
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 |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4573 |