National Provider Identifier [NPI]: |
1942376074 |
Last Name Of The Provider |
IQBAL |
First Name Of The Provider |
KASHIF |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
421 CHESTNUT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EVANSVILLE |
Zip Code Of The Provider |
477131227 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
2249 |
Number Of Medicare Beneficiaries |
568 |
Total Submitted Charge Amount |
257806 |
Total Medicare Allowed Amount |
151293.27 |
Total Medicare Payment Amount |
105356.61 |
Total Medicare Standardized Payment Amount |
113645.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
447 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
13222 |
Total Drug Medicare AllowedAmount |
6657.01 |
Total Drug Medicare PaymentAmount |
6122.17 |
Total Drug Medicare Standardized Payment Amount |
6122.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1802 |
Number Of Medicare Beneficiaries With Medical Services |
568 |
Total Medical Submitted Charge Amount |
244584 |
Total Medical Medicare Allowed Amount |
144636.26 |
Total Medical Medicare Payment Amount |
99234.44 |
Total Medical Medicare Standardized Payment Amount |
107523.6 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
493 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0808 |