National Provider Identifier [NPI]: |
1538356571 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
SAAD |
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 |
5653 FRIST BLVD |
Street Address 2 Of The Provider |
SUITE 630 |
City Of The Provider |
HERMITAGE |
Zip Code Of The Provider |
370762062 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
2305 |
Number Of Medicare Beneficiaries |
803 |
Total Submitted Charge Amount |
365007 |
Total Medicare Allowed Amount |
206306.7 |
Total Medicare Payment Amount |
159186.87 |
Total Medicare Standardized Payment Amount |
168863.41 |
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 |
2305 |
Number Of Medicare Beneficiaries With Medical Services |
803 |
Total Medical Submitted Charge Amount |
365007 |
Total Medical Medicare Allowed Amount |
206306.7 |
Total Medical Medicare Payment Amount |
159186.87 |
Total Medical Medicare Standardized Payment Amount |
168863.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
229 |
Number Of Beneficiaries Age Greater 84 |
191 |
Number Of Female Beneficiaries |
501 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
682 |
Number Of Black or African American Beneficiaries |
105 |
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 |
548 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
66 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3204 |