National Provider Identifier [NPI]: |
1518166818 |
Last Name Of The Provider |
ATHAR |
First Name Of The Provider |
MOHAMMED |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5236 W UNIVERSITY DR STE 1000 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCKINNEY |
Zip Code Of The Provider |
750718106 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
56641 |
Number Of Medicare Beneficiaries |
156 |
Total Submitted Charge Amount |
3305784 |
Total Medicare Allowed Amount |
932773.47 |
Total Medicare Payment Amount |
733511.43 |
Total Medicare Standardized Payment Amount |
735543.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
58 |
Number Of Drug Services |
53108 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
2655924 |
Total Drug Medicare AllowedAmount |
760903.37 |
Total Drug Medicare PaymentAmount |
596488.56 |
Total Drug Medicare Standardized Payment Amount |
596488.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3533 |
Number Of Medicare Beneficiaries With Medical Services |
156 |
Total Medical Submitted Charge Amount |
649860 |
Total Medical Medicare Allowed Amount |
171870.1 |
Total Medical Medicare Payment Amount |
137022.87 |
Total Medical Medicare Standardized Payment Amount |
139055.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
95 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
137 |
Number Of Black or African American Beneficiaries |
|
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 |
143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
56 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7572 |