National Provider Identifier [NPI]: |
1487653184 |
Last Name Of The Provider |
HAQ |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 MERCY HEALTH BLVD STE 125 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452111106 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3163 |
Number Of Medicare Beneficiaries |
1515 |
Total Submitted Charge Amount |
349710.6 |
Total Medicare Allowed Amount |
200568.45 |
Total Medicare Payment Amount |
151067.34 |
Total Medicare Standardized Payment Amount |
155659.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3163 |
Number Of Medicare Beneficiaries With Medical Services |
1515 |
Total Medical Submitted Charge Amount |
349710.6 |
Total Medical Medicare Allowed Amount |
200568.45 |
Total Medical Medicare Payment Amount |
151067.34 |
Total Medical Medicare Standardized Payment Amount |
155659.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
304 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
401 |
Number Of Beneficiaries Age Greater 84 |
353 |
Number Of Female Beneficiaries |
842 |
Number Of Male Beneficiaries |
673 |
Number Of Non Hispanic White Beneficiaries |
1267 |
Number Of Black or African American Beneficiaries |
208 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1078 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
437 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8682 |