National Provider Identifier [NPI]: |
1033381546 |
Last Name Of The Provider |
SIDDIQI |
First Name Of The Provider |
NAUMAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1110 COTTONWOOD LN |
Street Address 2 Of The Provider |
# 105 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
750386117 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
2022 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
343427 |
Total Medicare Allowed Amount |
149300.84 |
Total Medicare Payment Amount |
111095.27 |
Total Medicare Standardized Payment Amount |
114632.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
216 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
18360 |
Total Drug Medicare AllowedAmount |
11448.3 |
Total Drug Medicare PaymentAmount |
8809.76 |
Total Drug Medicare Standardized Payment Amount |
8809.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1806 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
325067 |
Total Medical Medicare Allowed Amount |
137852.54 |
Total Medical Medicare Payment Amount |
102285.51 |
Total Medical Medicare Standardized Payment Amount |
105822.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
503 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.2929 |