National Provider Identifier [NPI]: |
1659347748 |
Last Name Of The Provider |
NAVEED |
First Name Of The Provider |
MOHAMMAD |
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 |
211 S CRAPO ST |
Street Address 2 Of The Provider |
STE F |
City Of The Provider |
MT PLEASANT |
Zip Code Of The Provider |
488582961 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
212 |
Number Of Services |
4376 |
Number Of Medicare Beneficiaries |
2312 |
Total Submitted Charge Amount |
379899 |
Total Medicare Allowed Amount |
163945.8 |
Total Medicare Payment Amount |
125547.09 |
Total Medicare Standardized Payment Amount |
130131.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
19 |
Total Drug Medicare AllowedAmount |
5.8 |
Total Drug Medicare PaymentAmount |
4.61 |
Total Drug Medicare Standardized Payment Amount |
4.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
210 |
Number Of Medical Services |
4362 |
Number Of Medicare Beneficiaries With Medical Services |
2312 |
Total Medical Submitted Charge Amount |
379880 |
Total Medical Medicare Allowed Amount |
163940 |
Total Medical Medicare Payment Amount |
125542.48 |
Total Medical Medicare Standardized Payment Amount |
130126.57 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
496 |
Number Of Beneficiaries Age 65 to 74 |
878 |
Number Of Beneficiaries Age 75 to 84 |
643 |
Number Of Beneficiaries Age Greater 84 |
295 |
Number Of Female Beneficiaries |
1506 |
Number Of Male Beneficiaries |
806 |
Number Of Non Hispanic White Beneficiaries |
2187 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1634 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
678 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5965 |