National Provider Identifier [NPI]: |
1326027301 |
Last Name Of The Provider |
RAZA |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3737 WEST MAIN STREET |
Street Address 2 Of The Provider |
#102 |
City Of The Provider |
SALEM |
Zip Code Of The Provider |
24153 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
2873 |
Number Of Medicare Beneficiaries |
899 |
Total Submitted Charge Amount |
308801.5 |
Total Medicare Allowed Amount |
195182.04 |
Total Medicare Payment Amount |
145885.59 |
Total Medicare Standardized Payment Amount |
141107.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
794 |
Total Drug Medicare AllowedAmount |
159.97 |
Total Drug Medicare PaymentAmount |
132.39 |
Total Drug Medicare Standardized Payment Amount |
132.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2809 |
Number Of Medicare Beneficiaries With Medical Services |
899 |
Total Medical Submitted Charge Amount |
308007.5 |
Total Medical Medicare Allowed Amount |
195022.07 |
Total Medical Medicare Payment Amount |
145753.2 |
Total Medical Medicare Standardized Payment Amount |
140975.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
392 |
Number Of Non Hispanic White Beneficiaries |
813 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
730 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4398 |