National Provider Identifier [NPI]: |
1588619464 |
Last Name Of The Provider |
ALIM |
First Name Of The Provider |
MUHAMMAD |
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 |
3008 SILLECT AVE |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933086340 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
12167 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
1768161.07 |
Total Medicare Allowed Amount |
842297.44 |
Total Medicare Payment Amount |
647101.74 |
Total Medicare Standardized Payment Amount |
619084.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2821 |
Number Of Medicare Beneficiaries With Drug Services |
381 |
Total Drug Submitted ChargeAmount |
80550.07 |
Total Drug Medicare AllowedAmount |
13029.36 |
Total Drug Medicare PaymentAmount |
10732.12 |
Total Drug Medicare Standardized Payment Amount |
10732.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
9346 |
Number Of Medicare Beneficiaries With Medical Services |
1023 |
Total Medical Submitted Charge Amount |
1687611 |
Total Medical Medicare Allowed Amount |
829268.08 |
Total Medical Medicare Payment Amount |
636369.62 |
Total Medical Medicare Standardized Payment Amount |
608351.94 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
718 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
215 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
643 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
381 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
31 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1245 |