National Provider Identifier [NPI]: |
1891962999 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
BUSHRA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
826 DELAWARE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FOUNTAIN HILL |
Zip Code Of The Provider |
180151174 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
16334 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
296335 |
Total Medicare Allowed Amount |
162542.08 |
Total Medicare Payment Amount |
117823.94 |
Total Medicare Standardized Payment Amount |
122171.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
15654 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
172420 |
Total Drug Medicare AllowedAmount |
84942.1 |
Total Drug Medicare PaymentAmount |
62879.3 |
Total Drug Medicare Standardized Payment Amount |
62879.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
680 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
123915 |
Total Medical Medicare Allowed Amount |
77599.98 |
Total Medical Medicare Payment Amount |
54944.64 |
Total Medical Medicare Standardized Payment Amount |
59292.65 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
99 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
321 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.1927 |