National Provider Identifier [NPI]: |
1588676027 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
WAJEED |
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 |
12016 GEORGIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHEATON |
Zip Code Of The Provider |
209022004 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3612 |
Number Of Medicare Beneficiaries |
238 |
Total Submitted Charge Amount |
518171 |
Total Medicare Allowed Amount |
264730.9 |
Total Medicare Payment Amount |
199122.38 |
Total Medicare Standardized Payment Amount |
176820.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
266 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
10980 |
Total Drug Medicare AllowedAmount |
1753.37 |
Total Drug Medicare PaymentAmount |
1694.18 |
Total Drug Medicare Standardized Payment Amount |
1694.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3346 |
Number Of Medicare Beneficiaries With Medical Services |
238 |
Total Medical Submitted Charge Amount |
507191 |
Total Medical Medicare Allowed Amount |
262977.53 |
Total Medical Medicare Payment Amount |
197428.2 |
Total Medical Medicare Standardized Payment Amount |
175126.46 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
140 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
77 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
177 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8923 |