National Provider Identifier [NPI]: |
1275553398 |
Last Name Of The Provider |
SHAUKAT |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D., F.C.C.P |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1115 N CENTRAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347414405 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4069 |
Number Of Medicare Beneficiaries |
647 |
Total Submitted Charge Amount |
853541.08 |
Total Medicare Allowed Amount |
368439.14 |
Total Medicare Payment Amount |
277782.41 |
Total Medicare Standardized Payment Amount |
280574.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
960 |
Total Drug Medicare AllowedAmount |
325.51 |
Total Drug Medicare PaymentAmount |
319.01 |
Total Drug Medicare Standardized Payment Amount |
319.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4054 |
Number Of Medicare Beneficiaries With Medical Services |
647 |
Total Medical Submitted Charge Amount |
852581.08 |
Total Medical Medicare Allowed Amount |
368113.63 |
Total Medical Medicare Payment Amount |
277463.4 |
Total Medical Medicare Standardized Payment Amount |
280255.76 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
361 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
207 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
371 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
276 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
40 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
70 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.8319 |