National Provider Identifier [NPI]: |
1508989492 |
Last Name Of The Provider |
SATTAUR |
First Name Of The Provider |
ZAMIL |
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 |
851 IRELAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT KNOX |
Zip Code Of The Provider |
401212722 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
223 |
Number Of Medicare Beneficiaries |
119 |
Total Submitted Charge Amount |
17452 |
Total Medicare Allowed Amount |
11601.75 |
Total Medicare Payment Amount |
7671.6 |
Total Medicare Standardized Payment Amount |
8561.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
424 |
Total Drug Medicare AllowedAmount |
141.26 |
Total Drug Medicare PaymentAmount |
109.82 |
Total Drug Medicare Standardized Payment Amount |
109.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
192 |
Number Of Medicare Beneficiaries With Medical Services |
119 |
Total Medical Submitted Charge Amount |
17028 |
Total Medical Medicare Allowed Amount |
11460.49 |
Total Medical Medicare Payment Amount |
7561.78 |
Total Medical Medicare Standardized Payment Amount |
8451.84 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
44 |
Number Of Beneficiaries Age 75 to 84 |
31 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
80 |
Number Of Male Beneficiaries |
39 |
Number Of Non Hispanic White Beneficiaries |
104 |
Number Of Black or African American Beneficiaries |
|
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 |
98 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
13 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0524 |