National Provider Identifier [NPI]: |
1396731493 |
Last Name Of The Provider |
SHEIKH |
First Name Of The Provider |
SALMAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 W CHANDLER BLVD |
Street Address 2 Of The Provider |
SUITE 15-185 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852248632 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
5223 |
Number Of Medicare Beneficiaries |
1156 |
Total Submitted Charge Amount |
1145183 |
Total Medicare Allowed Amount |
488338.26 |
Total Medicare Payment Amount |
376629.09 |
Total Medicare Standardized Payment Amount |
383153.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
200 |
Total Drug Medicare AllowedAmount |
67.48 |
Total Drug Medicare PaymentAmount |
51.02 |
Total Drug Medicare Standardized Payment Amount |
51.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
5198 |
Number Of Medicare Beneficiaries With Medical Services |
1156 |
Total Medical Submitted Charge Amount |
1144983 |
Total Medical Medicare Allowed Amount |
488270.78 |
Total Medical Medicare Payment Amount |
376578.07 |
Total Medical Medicare Standardized Payment Amount |
383102.45 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
361 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
606 |
Number Of Male Beneficiaries |
550 |
Number Of Non Hispanic White Beneficiaries |
947 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
62 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
984 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.3336 |