National Provider Identifier [NPI]: |
1083703383 |
Last Name Of The Provider |
WAQAR |
First Name Of The Provider |
SAIAMA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4921 PARKVIEW PL |
Street Address 2 Of The Provider |
7TH FLOOR |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631101032 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
33839 |
Number Of Medicare Beneficiaries |
323 |
Total Submitted Charge Amount |
1293413 |
Total Medicare Allowed Amount |
452022.93 |
Total Medicare Payment Amount |
350553.85 |
Total Medicare Standardized Payment Amount |
351006.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
32149 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
950535 |
Total Drug Medicare AllowedAmount |
324191.61 |
Total Drug Medicare PaymentAmount |
253849.54 |
Total Drug Medicare Standardized Payment Amount |
253849.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1690 |
Number Of Medicare Beneficiaries With Medical Services |
323 |
Total Medical Submitted Charge Amount |
342878 |
Total Medical Medicare Allowed Amount |
127831.32 |
Total Medical Medicare Payment Amount |
96704.31 |
Total Medical Medicare Standardized Payment Amount |
97156.66 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
|
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 |
268 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
70 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.5542 |