National Provider Identifier [NPI]: |
1891020871 |
Last Name Of The Provider |
HTIKE |
First Name Of The Provider |
NAING |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6490 MOUNT MORIAH ROAD EXT STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381153841 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
5365 |
Number Of Medicare Beneficiaries |
1701 |
Total Submitted Charge Amount |
1433665.32 |
Total Medicare Allowed Amount |
539856.08 |
Total Medicare Payment Amount |
412804.96 |
Total Medicare Standardized Payment Amount |
433030.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
5365 |
Number Of Medicare Beneficiaries With Medical Services |
1701 |
Total Medical Submitted Charge Amount |
1433665.32 |
Total Medical Medicare Allowed Amount |
539856.08 |
Total Medical Medicare Payment Amount |
412804.96 |
Total Medical Medicare Standardized Payment Amount |
433030.23 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
451 |
Number Of Beneficiaries Age 65 to 74 |
539 |
Number Of Beneficiaries Age 75 to 84 |
503 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
878 |
Number Of Male Beneficiaries |
823 |
Number Of Non Hispanic White Beneficiaries |
816 |
Number Of Black or African American Beneficiaries |
852 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
988 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
713 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
63 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.7751 |