National Provider Identifier [NPI]: |
1598859852 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
JUNAID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10496 MONTGOMERY ROAD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452425220 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
2503 |
Number Of Medicare Beneficiaries |
686 |
Total Submitted Charge Amount |
349423 |
Total Medicare Allowed Amount |
237027.07 |
Total Medicare Payment Amount |
179333.13 |
Total Medicare Standardized Payment Amount |
186363.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
4965 |
Total Drug Medicare AllowedAmount |
3283.35 |
Total Drug Medicare PaymentAmount |
3217.7 |
Total Drug Medicare Standardized Payment Amount |
3217.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2459 |
Number Of Medicare Beneficiaries With Medical Services |
686 |
Total Medical Submitted Charge Amount |
344458 |
Total Medical Medicare Allowed Amount |
233743.72 |
Total Medical Medicare Payment Amount |
176115.43 |
Total Medical Medicare Standardized Payment Amount |
183145.32 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
288 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
623 |
Number Of Black or African American Beneficiaries |
45 |
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 |
540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
29 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9946 |