National Provider Identifier [NPI]: |
1669572053 |
Last Name Of The Provider |
SHAHZADA |
First Name Of The Provider |
KAMRAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 NORTH SUMMIT ST. |
Street Address 2 Of The Provider |
|
City Of The Provider |
ARKANSAS CITY |
Zip Code Of The Provider |
67005 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
3494 |
Number Of Medicare Beneficiaries |
696 |
Total Submitted Charge Amount |
423839.16 |
Total Medicare Allowed Amount |
212036.33 |
Total Medicare Payment Amount |
150212.46 |
Total Medicare Standardized Payment Amount |
159173.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
333 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
8996 |
Total Drug Medicare AllowedAmount |
5644.47 |
Total Drug Medicare PaymentAmount |
5254.85 |
Total Drug Medicare Standardized Payment Amount |
5254.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3161 |
Number Of Medicare Beneficiaries With Medical Services |
696 |
Total Medical Submitted Charge Amount |
414843.16 |
Total Medical Medicare Allowed Amount |
206391.86 |
Total Medical Medicare Payment Amount |
144957.61 |
Total Medical Medicare Standardized Payment Amount |
153918.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
639 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
508 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2155 |