National Provider Identifier [NPI]: |
1467426478 |
Last Name Of The Provider |
RAHMAN |
First Name Of The Provider |
NADEEM |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6113 N FRESNO ST |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937105207 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
151 |
Number Of Services |
22816 |
Number Of Medicare Beneficiaries |
1186 |
Total Submitted Charge Amount |
1534419.2 |
Total Medicare Allowed Amount |
800804.42 |
Total Medicare Payment Amount |
607060.82 |
Total Medicare Standardized Payment Amount |
593838.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
13260 |
Number Of Medicare Beneficiaries With Drug Services |
206 |
Total Drug Submitted ChargeAmount |
198336.2 |
Total Drug Medicare AllowedAmount |
93379.32 |
Total Drug Medicare PaymentAmount |
72916.35 |
Total Drug Medicare Standardized Payment Amount |
72916.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
9556 |
Number Of Medicare Beneficiaries With Medical Services |
1186 |
Total Medical Submitted Charge Amount |
1336083 |
Total Medical Medicare Allowed Amount |
707425.1 |
Total Medical Medicare Payment Amount |
534144.47 |
Total Medical Medicare Standardized Payment Amount |
520922.56 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
588 |
Number Of Beneficiaries Age 75 to 84 |
330 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
791 |
Number Of Non Hispanic White Beneficiaries |
771 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
278 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
850 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
336 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2543 |