National Provider Identifier [NPI]: |
1952300659 |
Last Name Of The Provider |
TAHIR |
First Name Of The Provider |
SALEEM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15142 LEVAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIVONIA |
Zip Code Of The Provider |
481545027 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
1407 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
232076 |
Total Medicare Allowed Amount |
136464.08 |
Total Medicare Payment Amount |
103347.17 |
Total Medicare Standardized Payment Amount |
99142.07 |
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 |
22 |
Number Of Medical Services |
1407 |
Number Of Medicare Beneficiaries With Medical Services |
701 |
Total Medical Submitted Charge Amount |
232076 |
Total Medical Medicare Allowed Amount |
136464.08 |
Total Medical Medicare Payment Amount |
103347.17 |
Total Medical Medicare Standardized Payment Amount |
99142.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
570 |
Number Of Black or African American Beneficiaries |
88 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
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 |
153 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.8357 |