National Provider Identifier [NPI]: |
1124222708 |
Last Name Of The Provider |
NAJAM |
First Name Of The Provider |
SABEEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1610 W BAKER RD STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAYTOWN |
Zip Code Of The Provider |
775212279 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
46855 |
Number Of Medicare Beneficiaries |
537 |
Total Submitted Charge Amount |
2541572.25 |
Total Medicare Allowed Amount |
1204315.07 |
Total Medicare Payment Amount |
876087.36 |
Total Medicare Standardized Payment Amount |
883735.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
42777 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
1388925 |
Total Drug Medicare AllowedAmount |
808478.02 |
Total Drug Medicare PaymentAmount |
585080.61 |
Total Drug Medicare Standardized Payment Amount |
585080.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
4078 |
Number Of Medicare Beneficiaries With Medical Services |
537 |
Total Medical Submitted Charge Amount |
1152647.25 |
Total Medical Medicare Allowed Amount |
395837.05 |
Total Medical Medicare Payment Amount |
291006.75 |
Total Medical Medicare Standardized Payment Amount |
298654.98 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
343 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
92 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
373 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4118 |