National Provider Identifier [NPI]: |
1023026234 |
Last Name Of The Provider |
ALKHAIRY |
First Name Of The Provider |
TAHIR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2601 E ROOSEVELT ST |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850084973 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
7130 |
Number Of Medicare Beneficiaries |
3779 |
Total Submitted Charge Amount |
1016770.4 |
Total Medicare Allowed Amount |
265956.96 |
Total Medicare Payment Amount |
211350 |
Total Medicare Standardized Payment Amount |
216033.9 |
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 |
146 |
Number Of Medical Services |
7130 |
Number Of Medicare Beneficiaries With Medical Services |
3779 |
Total Medical Submitted Charge Amount |
1016770.4 |
Total Medical Medicare Allowed Amount |
265956.96 |
Total Medical Medicare Payment Amount |
211350 |
Total Medical Medicare Standardized Payment Amount |
216033.9 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
742 |
Number Of Beneficiaries Age 65 to 74 |
1512 |
Number Of Beneficiaries Age 75 to 84 |
987 |
Number Of Beneficiaries Age Greater 84 |
538 |
Number Of Female Beneficiaries |
2188 |
Number Of Male Beneficiaries |
1591 |
Number Of Non Hispanic White Beneficiaries |
2868 |
Number Of Black or African American Beneficiaries |
190 |
Number Of AsianPacific Islander Beneficiaries |
65 |
Number Of Hispanic Beneficiaries |
448 |
Number Of American Indian Alaska Native Beneficiaries |
158 |
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
2781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
998 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7323 |