National Provider Identifier [NPI]: |
1902913692 |
Last Name Of The Provider |
LATIF |
First Name Of The Provider |
KASHIF |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3025 KATE BOND RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BARTLETT |
Zip Code Of The Provider |
381334004 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
16781.5 |
Number Of Medicare Beneficiaries |
1380 |
Total Submitted Charge Amount |
1735755 |
Total Medicare Allowed Amount |
565566.76 |
Total Medicare Payment Amount |
423499.13 |
Total Medicare Standardized Payment Amount |
455223.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
247 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
7874 |
Total Drug Medicare AllowedAmount |
1666.5 |
Total Drug Medicare PaymentAmount |
1395.87 |
Total Drug Medicare Standardized Payment Amount |
1395.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
16534.5 |
Number Of Medicare Beneficiaries With Medical Services |
1380 |
Total Medical Submitted Charge Amount |
1727881 |
Total Medical Medicare Allowed Amount |
563900.26 |
Total Medical Medicare Payment Amount |
422103.26 |
Total Medical Medicare Standardized Payment Amount |
453827.15 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
303 |
Number Of Beneficiaries Age 65 to 74 |
737 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
912 |
Number Of Male Beneficiaries |
468 |
Number Of Non Hispanic White Beneficiaries |
949 |
Number Of Black or African American Beneficiaries |
401 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
243 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
73 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4367 |