National Provider Identifier [NPI]: |
1851379523 |
Last Name Of The Provider |
SYED |
First Name Of The Provider |
SALAHUDDIN |
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 |
3 S 4TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARSHALLTOWN |
Zip Code Of The Provider |
501582924 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
2886 |
Number Of Medicare Beneficiaries |
875 |
Total Submitted Charge Amount |
361469 |
Total Medicare Allowed Amount |
98803.69 |
Total Medicare Payment Amount |
76831.9 |
Total Medicare Standardized Payment Amount |
53426.35 |
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 |
27 |
Number Of Medical Services |
2886 |
Number Of Medicare Beneficiaries With Medical Services |
875 |
Total Medical Submitted Charge Amount |
361469 |
Total Medical Medicare Allowed Amount |
98803.69 |
Total Medical Medicare Payment Amount |
76831.9 |
Total Medical Medicare Standardized Payment Amount |
53426.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
847 |
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 |
736 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0749 |