National Provider Identifier [NPI]: |
1144422544 |
Last Name Of The Provider |
SHAHKHAN |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 CHICAGO AVENUE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MINNEAPOLIS |
Zip Code Of The Provider |
55407 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
8964 |
Number Of Medicare Beneficiaries |
243 |
Total Submitted Charge Amount |
420420 |
Total Medicare Allowed Amount |
194767.71 |
Total Medicare Payment Amount |
144933.64 |
Total Medicare Standardized Payment Amount |
141947.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
8280 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
211388 |
Total Drug Medicare AllowedAmount |
121209 |
Total Drug Medicare PaymentAmount |
90331.91 |
Total Drug Medicare Standardized Payment Amount |
90331.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
684 |
Number Of Medicare Beneficiaries With Medical Services |
243 |
Total Medical Submitted Charge Amount |
209032 |
Total Medical Medicare Allowed Amount |
73558.71 |
Total Medical Medicare Payment Amount |
54601.73 |
Total Medical Medicare Standardized Payment Amount |
51616.08 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
140 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
217 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
163 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3013 |