National Provider Identifier [NPI]: |
1689897159 |
Last Name Of The Provider |
ELAHI |
First Name Of The Provider |
HAFIZ |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1264 WESLEY DR |
Street Address 2 Of The Provider |
201 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
38116 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3680 |
Number Of Medicare Beneficiaries |
496 |
Total Submitted Charge Amount |
484902 |
Total Medicare Allowed Amount |
202210.41 |
Total Medicare Payment Amount |
149271.07 |
Total Medicare Standardized Payment Amount |
160673.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1889 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
124063 |
Total Drug Medicare AllowedAmount |
42634.25 |
Total Drug Medicare PaymentAmount |
32873.7 |
Total Drug Medicare Standardized Payment Amount |
32873.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1791 |
Number Of Medicare Beneficiaries With Medical Services |
496 |
Total Medical Submitted Charge Amount |
360839 |
Total Medical Medicare Allowed Amount |
159576.16 |
Total Medical Medicare Payment Amount |
116397.37 |
Total Medical Medicare Standardized Payment Amount |
127799.67 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
163 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
350 |
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 |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
36 |
Average HCC Risk Score Of Beneficiaries |
2.42 |