National Provider Identifier [NPI]: |
1881665735 |
Last Name Of The Provider |
RIZWAN |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13154 COIT RD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752405773 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
5317 |
Number Of Medicare Beneficiaries |
448 |
Total Submitted Charge Amount |
650861 |
Total Medicare Allowed Amount |
183973.96 |
Total Medicare Payment Amount |
139891.34 |
Total Medicare Standardized Payment Amount |
141523.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2696 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
59680 |
Total Drug Medicare AllowedAmount |
15325.15 |
Total Drug Medicare PaymentAmount |
11569.13 |
Total Drug Medicare Standardized Payment Amount |
11569.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2621 |
Number Of Medicare Beneficiaries With Medical Services |
448 |
Total Medical Submitted Charge Amount |
591181 |
Total Medical Medicare Allowed Amount |
168648.81 |
Total Medical Medicare Payment Amount |
128322.21 |
Total Medical Medicare Standardized Payment Amount |
129954.45 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
277 |
Number Of Black or African American Beneficiaries |
108 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
308 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
70 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
4.9176 |