National Provider Identifier [NPI]: |
1356324875 |
Last Name Of The Provider |
HASHMY |
First Name Of The Provider |
TARIQ |
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 |
11034 SCARSDALE BLVD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770895971 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
4037 |
Number Of Medicare Beneficiaries |
1802 |
Total Submitted Charge Amount |
473521.91 |
Total Medicare Allowed Amount |
108606.01 |
Total Medicare Payment Amount |
80490.31 |
Total Medicare Standardized Payment Amount |
80576.64 |
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 |
153 |
Number Of Medical Services |
4037 |
Number Of Medicare Beneficiaries With Medical Services |
1802 |
Total Medical Submitted Charge Amount |
473521.91 |
Total Medical Medicare Allowed Amount |
108606.01 |
Total Medical Medicare Payment Amount |
80490.31 |
Total Medical Medicare Standardized Payment Amount |
80576.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
402 |
Number Of Beneficiaries Age 65 to 74 |
638 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
289 |
Number Of Female Beneficiaries |
1097 |
Number Of Male Beneficiaries |
705 |
Number Of Non Hispanic White Beneficiaries |
1171 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
488 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
672 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2851 |