National Provider Identifier [NPI]: |
1407880305 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
KHALID |
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 |
1002 TEXAS BLVD |
Street Address 2 Of The Provider |
STE 401 |
City Of The Provider |
TEXARKANA |
Zip Code Of The Provider |
75501 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
5855 |
Number Of Medicare Beneficiaries |
853 |
Total Submitted Charge Amount |
555138.5 |
Total Medicare Allowed Amount |
253475.67 |
Total Medicare Payment Amount |
190847.95 |
Total Medicare Standardized Payment Amount |
200919.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3503 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
35654.5 |
Total Drug Medicare AllowedAmount |
19008.65 |
Total Drug Medicare PaymentAmount |
14902.79 |
Total Drug Medicare Standardized Payment Amount |
14902.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2352 |
Number Of Medicare Beneficiaries With Medical Services |
853 |
Total Medical Submitted Charge Amount |
519484 |
Total Medical Medicare Allowed Amount |
234467.02 |
Total Medical Medicare Payment Amount |
175945.16 |
Total Medical Medicare Standardized Payment Amount |
186016.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
680 |
Number Of Black or African American Beneficiaries |
155 |
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 |
589 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
52 |
Average HCC Risk Score Of Beneficiaries |
1.538 |