National Provider Identifier [NPI]: |
1497743462 |
Last Name Of The Provider |
BAJWA |
First Name Of The Provider |
MOHSIN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1125 CYPRESS STATION DR |
Street Address 2 Of The Provider |
SUITE E |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770903054 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
4512 |
Number Of Medicare Beneficiaries |
758 |
Total Submitted Charge Amount |
1105423 |
Total Medicare Allowed Amount |
438934.85 |
Total Medicare Payment Amount |
330659.74 |
Total Medicare Standardized Payment Amount |
334706.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
1829 |
Total Drug Medicare AllowedAmount |
560.91 |
Total Drug Medicare PaymentAmount |
451.53 |
Total Drug Medicare Standardized Payment Amount |
451.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4235 |
Number Of Medicare Beneficiaries With Medical Services |
758 |
Total Medical Submitted Charge Amount |
1103594 |
Total Medical Medicare Allowed Amount |
438373.94 |
Total Medical Medicare Payment Amount |
330208.21 |
Total Medical Medicare Standardized Payment Amount |
334255.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
453 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.5758 |