National Provider Identifier [NPI]: |
1134198187 |
Last Name Of The Provider |
ABBASI |
First Name Of The Provider |
GOHAR |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1714 E HUNDRED RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
CHESTER |
Zip Code Of The Provider |
238363310 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
6438 |
Number Of Medicare Beneficiaries |
1013 |
Total Submitted Charge Amount |
814319.9 |
Total Medicare Allowed Amount |
620383.91 |
Total Medicare Payment Amount |
470916.72 |
Total Medicare Standardized Payment Amount |
491433.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1851 |
Total Drug Medicare AllowedAmount |
1145.55 |
Total Drug Medicare PaymentAmount |
1064.07 |
Total Drug Medicare Standardized Payment Amount |
1064.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
6306 |
Number Of Medicare Beneficiaries With Medical Services |
1013 |
Total Medical Submitted Charge Amount |
812468.9 |
Total Medical Medicare Allowed Amount |
619238.36 |
Total Medical Medicare Payment Amount |
469852.65 |
Total Medical Medicare Standardized Payment Amount |
490369.59 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
251 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
643 |
Number Of Black or African American Beneficiaries |
333 |
Number Of AsianPacific Islander Beneficiaries |
17 |
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 |
714 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.0871 |