National Provider Identifier [NPI]: |
1295738649 |
Last Name Of The Provider |
ARFEEN |
First Name Of The Provider |
QAMAR |
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 |
3406 COLLEGE ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
BEAUMONT |
Zip Code Of The Provider |
777014612 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
8641 |
Number Of Medicare Beneficiaries |
842 |
Total Submitted Charge Amount |
1021371.53 |
Total Medicare Allowed Amount |
378476.99 |
Total Medicare Payment Amount |
290398.72 |
Total Medicare Standardized Payment Amount |
299061.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
241 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
7109.52 |
Total Drug Medicare AllowedAmount |
691.69 |
Total Drug Medicare PaymentAmount |
644.37 |
Total Drug Medicare Standardized Payment Amount |
644.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
8400 |
Number Of Medicare Beneficiaries With Medical Services |
842 |
Total Medical Submitted Charge Amount |
1014262.01 |
Total Medical Medicare Allowed Amount |
377785.3 |
Total Medical Medicare Payment Amount |
289754.35 |
Total Medical Medicare Standardized Payment Amount |
298417.31 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
625 |
Number Of Black or African American Beneficiaries |
191 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1818 |