National Provider Identifier [NPI]: |
1538194048 |
Last Name Of The Provider |
SHEIKH |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7015 N CHESTNUT AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937200349 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
990 |
Number Of Medicare Beneficiaries |
370 |
Total Submitted Charge Amount |
421228 |
Total Medicare Allowed Amount |
134215.46 |
Total Medicare Payment Amount |
102160.31 |
Total Medicare Standardized Payment Amount |
100715.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
3665 |
Total Drug Medicare AllowedAmount |
1746.55 |
Total Drug Medicare PaymentAmount |
1711.74 |
Total Drug Medicare Standardized Payment Amount |
1711.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
960 |
Number Of Medicare Beneficiaries With Medical Services |
370 |
Total Medical Submitted Charge Amount |
417563 |
Total Medical Medicare Allowed Amount |
132468.91 |
Total Medical Medicare Payment Amount |
100448.57 |
Total Medical Medicare Standardized Payment Amount |
99003.84 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
150 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
159 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
247 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.3399 |