National Provider Identifier [NPI]: |
1205872405 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
ZAKA |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 W MARKET ST |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402021332 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
4919 |
Number Of Medicare Beneficiaries |
1386 |
Total Submitted Charge Amount |
777770 |
Total Medicare Allowed Amount |
455220.36 |
Total Medicare Payment Amount |
347767.07 |
Total Medicare Standardized Payment Amount |
367570.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
620 |
Total Drug Medicare AllowedAmount |
492.64 |
Total Drug Medicare PaymentAmount |
482.8 |
Total Drug Medicare Standardized Payment Amount |
482.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4901 |
Number Of Medicare Beneficiaries With Medical Services |
1386 |
Total Medical Submitted Charge Amount |
777150 |
Total Medical Medicare Allowed Amount |
454727.72 |
Total Medical Medicare Payment Amount |
347284.27 |
Total Medical Medicare Standardized Payment Amount |
367088 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
346 |
Number Of Beneficiaries Age 65 to 74 |
515 |
Number Of Beneficiaries Age 75 to 84 |
370 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
733 |
Number Of Male Beneficiaries |
653 |
Number Of Non Hispanic White Beneficiaries |
1132 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
926 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
460 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4451 |