National Provider Identifier [NPI]: |
1982793790 |
Last Name Of The Provider |
IQBAL |
First Name Of The Provider |
ANJUM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 HARDIN LN |
Street Address 2 Of The Provider |
SUITE 9 |
City Of The Provider |
SOMERSET |
Zip Code Of The Provider |
425033818 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
9794 |
Number Of Medicare Beneficiaries |
1040 |
Total Submitted Charge Amount |
636671.03 |
Total Medicare Allowed Amount |
453145.72 |
Total Medicare Payment Amount |
340264.14 |
Total Medicare Standardized Payment Amount |
343981.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
574 |
Number Of Medicare Beneficiaries With Drug Services |
258 |
Total Drug Submitted ChargeAmount |
12637.02 |
Total Drug Medicare AllowedAmount |
7525.75 |
Total Drug Medicare PaymentAmount |
6707.04 |
Total Drug Medicare Standardized Payment Amount |
6707.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
9220 |
Number Of Medicare Beneficiaries With Medical Services |
1040 |
Total Medical Submitted Charge Amount |
624034.01 |
Total Medical Medicare Allowed Amount |
445619.97 |
Total Medical Medicare Payment Amount |
333557.1 |
Total Medical Medicare Standardized Payment Amount |
337274.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
254 |
Number Of Beneficiaries Age 65 to 74 |
337 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
1014 |
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 |
552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
488 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5843 |