National Provider Identifier [NPI]: |
1477594083 |
Last Name Of The Provider |
HASNI |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
219 N BROAD ST |
Street Address 2 Of The Provider |
2ND FL |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191071519 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2002 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
328944 |
Total Medicare Allowed Amount |
151061.66 |
Total Medicare Payment Amount |
115348.17 |
Total Medicare Standardized Payment Amount |
110237.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
8158 |
Total Drug Medicare AllowedAmount |
3399.5 |
Total Drug Medicare PaymentAmount |
2665.2 |
Total Drug Medicare Standardized Payment Amount |
2665.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1936 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
320786 |
Total Medical Medicare Allowed Amount |
147662.16 |
Total Medical Medicare Payment Amount |
112682.97 |
Total Medical Medicare Standardized Payment Amount |
107572.57 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
270 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
420 |
Number Of Non Hispanic White Beneficiaries |
251 |
Number Of Black or African American Beneficiaries |
401 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
400 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.1645 |