National Provider Identifier [NPI]: |
1346208048 |
Last Name Of The Provider |
ARYANPURE |
First Name Of The Provider |
MALIKA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1386 DOWNING RDG |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354063642 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
11969 |
Number Of Medicare Beneficiaries |
748 |
Total Submitted Charge Amount |
454901 |
Total Medicare Allowed Amount |
276056.67 |
Total Medicare Payment Amount |
188856.19 |
Total Medicare Standardized Payment Amount |
207971.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
6208 |
Number Of Medicare Beneficiaries With Drug Services |
456 |
Total Drug Submitted ChargeAmount |
38039 |
Total Drug Medicare AllowedAmount |
4599.14 |
Total Drug Medicare PaymentAmount |
3564.69 |
Total Drug Medicare Standardized Payment Amount |
3564.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
5761 |
Number Of Medicare Beneficiaries With Medical Services |
747 |
Total Medical Submitted Charge Amount |
416862 |
Total Medical Medicare Allowed Amount |
271457.53 |
Total Medical Medicare Payment Amount |
185291.5 |
Total Medical Medicare Standardized Payment Amount |
204407.01 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
268 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
453 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
665 |
Number Of Black or African American Beneficiaries |
71 |
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 |
597 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9134 |