National Provider Identifier [NPI]: |
1285679027 |
Last Name Of The Provider |
AWAN |
First Name Of The Provider |
MUZAFFAR |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7105 ALLEN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLEN PARK |
Zip Code Of The Provider |
481012009 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
4827 |
Number Of Medicare Beneficiaries |
264 |
Total Submitted Charge Amount |
343025 |
Total Medicare Allowed Amount |
180755.96 |
Total Medicare Payment Amount |
133268.04 |
Total Medicare Standardized Payment Amount |
125008.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1635 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
32595 |
Total Drug Medicare AllowedAmount |
2425.11 |
Total Drug Medicare PaymentAmount |
1929.19 |
Total Drug Medicare Standardized Payment Amount |
1929.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3192 |
Number Of Medicare Beneficiaries With Medical Services |
264 |
Total Medical Submitted Charge Amount |
310430 |
Total Medical Medicare Allowed Amount |
178330.85 |
Total Medical Medicare Payment Amount |
131338.85 |
Total Medical Medicare Standardized Payment Amount |
123079.17 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3498 |