National Provider Identifier [NPI]: |
1063476208 |
Last Name Of The Provider |
KALEEM |
First Name Of The Provider |
ZAHID |
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 |
3015 N BALLAS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631312329 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
7935 |
Number Of Medicare Beneficiaries |
2431 |
Total Submitted Charge Amount |
1028139.08 |
Total Medicare Allowed Amount |
336708.43 |
Total Medicare Payment Amount |
259102.27 |
Total Medicare Standardized Payment Amount |
185000.95 |
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 |
29 |
Number Of Medical Services |
7935 |
Number Of Medicare Beneficiaries With Medical Services |
2431 |
Total Medical Submitted Charge Amount |
1028139.08 |
Total Medical Medicare Allowed Amount |
336708.43 |
Total Medical Medicare Payment Amount |
259102.27 |
Total Medical Medicare Standardized Payment Amount |
185000.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
321 |
Number Of Beneficiaries Age 65 to 74 |
1254 |
Number Of Beneficiaries Age 75 to 84 |
705 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
1361 |
Number Of Male Beneficiaries |
1070 |
Number Of Non Hispanic White Beneficiaries |
2012 |
Number Of Black or African American Beneficiaries |
338 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
2167 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1021 |