National Provider Identifier [NPI]: |
1326287715 |
Last Name Of The Provider |
ALY |
First Name Of The Provider |
SALMAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 CREEKWAY DRIVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
SUGAR LAND |
Zip Code Of The Provider |
77478 |
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 |
46 |
Number Of Services |
7433 |
Number Of Medicare Beneficiaries |
1092 |
Total Submitted Charge Amount |
1963536.57 |
Total Medicare Allowed Amount |
666508.25 |
Total Medicare Payment Amount |
522056.82 |
Total Medicare Standardized Payment Amount |
533980.06 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
272 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
291 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
491 |
Number Of Non Hispanic White Beneficiaries |
526 |
Number Of Black or African American Beneficiaries |
322 |
Number Of AsianPacific Islander Beneficiaries |
59 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
614 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
478 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.9734 |