National Provider Identifier [NPI]: |
1487757951 |
Last Name Of The Provider |
RAHMAN |
First Name Of The Provider |
KHALIL |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 HARRODSBURG RD C-335 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
40504 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5741 |
Number Of Medicare Beneficiaries |
956 |
Total Submitted Charge Amount |
534883.5 |
Total Medicare Allowed Amount |
364827.94 |
Total Medicare Payment Amount |
277299.22 |
Total Medicare Standardized Payment Amount |
295037.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2754 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
4630.5 |
Total Drug Medicare AllowedAmount |
4210.52 |
Total Drug Medicare PaymentAmount |
3075.4 |
Total Drug Medicare Standardized Payment Amount |
3075.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2987 |
Number Of Medicare Beneficiaries With Medical Services |
956 |
Total Medical Submitted Charge Amount |
530253 |
Total Medical Medicare Allowed Amount |
360617.42 |
Total Medical Medicare Payment Amount |
274223.82 |
Total Medical Medicare Standardized Payment Amount |
291962.38 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
274 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
452 |
Number Of Male Beneficiaries |
504 |
Number Of Non Hispanic White Beneficiaries |
793 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
4.0771 |