National Provider Identifier [NPI]: |
1154369577 |
Last Name Of The Provider |
ARSLAN |
First Name Of The Provider |
WAQAS |
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 |
1876 E SABIN DR |
Street Address 2 Of The Provider |
SUITE 10 |
City Of The Provider |
CASA GRANDE |
Zip Code Of The Provider |
851226197 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
12492 |
Number Of Medicare Beneficiaries |
178 |
Total Submitted Charge Amount |
485262.74 |
Total Medicare Allowed Amount |
153601.18 |
Total Medicare Payment Amount |
119806.75 |
Total Medicare Standardized Payment Amount |
119384.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
32 |
Number Of Drug Services |
11773 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
311558.68 |
Total Drug Medicare AllowedAmount |
94451 |
Total Drug Medicare PaymentAmount |
74049.8 |
Total Drug Medicare Standardized Payment Amount |
74049.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
719 |
Number Of Medicare Beneficiaries With Medical Services |
178 |
Total Medical Submitted Charge Amount |
173704.06 |
Total Medical Medicare Allowed Amount |
59150.18 |
Total Medical Medicare Payment Amount |
45756.95 |
Total Medical Medicare Standardized Payment Amount |
45334.33 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
78 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
77 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
120 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8711 |