National Provider Identifier [NPI]: |
1164634838 |
Last Name Of The Provider |
ZAIDI |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5050 POPLAR AVE |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381570101 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3450 |
Number Of Medicare Beneficiaries |
1106 |
Total Submitted Charge Amount |
662974 |
Total Medicare Allowed Amount |
252999.08 |
Total Medicare Payment Amount |
190615.07 |
Total Medicare Standardized Payment Amount |
205729.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
633 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
1495 |
Total Drug Medicare AllowedAmount |
651.72 |
Total Drug Medicare PaymentAmount |
606.81 |
Total Drug Medicare Standardized Payment Amount |
606.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2817 |
Number Of Medicare Beneficiaries With Medical Services |
1106 |
Total Medical Submitted Charge Amount |
661479 |
Total Medical Medicare Allowed Amount |
252347.36 |
Total Medical Medicare Payment Amount |
190008.26 |
Total Medical Medicare Standardized Payment Amount |
205122.89 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
320 |
Number Of Beneficiaries Age 65 to 74 |
401 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
595 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
471 |
Number Of Black or African American Beneficiaries |
610 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
613 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
493 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
32 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.0058 |