National Provider Identifier [NPI]: |
1922040658 |
Last Name Of The Provider |
HAYDAR |
First Name Of The Provider |
ZAFER |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6065 MONTANA AVE |
Street Address 2 Of The Provider |
SUITE A2 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799251835 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
12109 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
866550.49 |
Total Medicare Allowed Amount |
419524.41 |
Total Medicare Payment Amount |
306143.68 |
Total Medicare Standardized Payment Amount |
323470.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1111 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
4711.26 |
Total Drug Medicare AllowedAmount |
1648.64 |
Total Drug Medicare PaymentAmount |
1442.11 |
Total Drug Medicare Standardized Payment Amount |
1442.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
10998 |
Number Of Medicare Beneficiaries With Medical Services |
579 |
Total Medical Submitted Charge Amount |
861839.23 |
Total Medical Medicare Allowed Amount |
417875.77 |
Total Medical Medicare Payment Amount |
304701.57 |
Total Medical Medicare Standardized Payment Amount |
322028.73 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
86 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
464 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
296 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6437 |