National Provider Identifier [NPI]: |
1063614790 |
Last Name Of The Provider |
YUSUFZAI |
First Name Of The Provider |
IRFANULLAH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 N HIGHLAND AVE |
Street Address 2 Of The Provider |
SUITE 455 |
City Of The Provider |
SHERMAN |
Zip Code Of The Provider |
750927388 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2951 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
510167 |
Total Medicare Allowed Amount |
297791.52 |
Total Medicare Payment Amount |
232984.9 |
Total Medicare Standardized Payment Amount |
242539.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
480 |
Total Drug Medicare AllowedAmount |
46.19 |
Total Drug Medicare PaymentAmount |
36.18 |
Total Drug Medicare Standardized Payment Amount |
36.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2935 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
509687 |
Total Medical Medicare Allowed Amount |
297745.33 |
Total Medical Medicare Payment Amount |
232948.72 |
Total Medical Medicare Standardized Payment Amount |
242503.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
339 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
678 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
573 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
73 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9967 |