National Provider Identifier [NPI]: |
1497840458 |
Last Name Of The Provider |
SHAIKH |
First Name Of The Provider |
SHAHIN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
90 MEDFORD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PATCHOGUE |
Zip Code Of The Provider |
11772 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
6891 |
Number Of Medicare Beneficiaries |
816 |
Total Submitted Charge Amount |
769813.42 |
Total Medicare Allowed Amount |
692142.94 |
Total Medicare Payment Amount |
538289.3 |
Total Medicare Standardized Payment Amount |
486437.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
381 |
Total Drug Medicare AllowedAmount |
110.19 |
Total Drug Medicare PaymentAmount |
107.5 |
Total Drug Medicare Standardized Payment Amount |
107.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
6871 |
Number Of Medicare Beneficiaries With Medical Services |
816 |
Total Medical Submitted Charge Amount |
769432.42 |
Total Medical Medicare Allowed Amount |
692032.75 |
Total Medical Medicare Payment Amount |
538181.8 |
Total Medical Medicare Standardized Payment Amount |
486329.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
512 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
444 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
372 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.5822 |