National Provider Identifier [NPI]: |
1891955845 |
Last Name Of The Provider |
AL-KHAWAJA |
First Name Of The Provider |
MAHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.B.B.S., MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 COLLINS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381123814 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
10114 |
Number Of Medicare Beneficiaries |
3853 |
Total Submitted Charge Amount |
2071273 |
Total Medicare Allowed Amount |
573221.39 |
Total Medicare Payment Amount |
435650.28 |
Total Medicare Standardized Payment Amount |
307285.54 |
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 |
8 |
Number Of Medical Services |
10114 |
Number Of Medicare Beneficiaries With Medical Services |
3853 |
Total Medical Submitted Charge Amount |
2071273 |
Total Medical Medicare Allowed Amount |
573221.39 |
Total Medical Medicare Payment Amount |
435650.28 |
Total Medical Medicare Standardized Payment Amount |
307285.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
662 |
Number Of Beneficiaries Age 65 to 74 |
2116 |
Number Of Beneficiaries Age 75 to 84 |
956 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
2134 |
Number Of Male Beneficiaries |
1719 |
Number Of Non Hispanic White Beneficiaries |
3199 |
Number Of Black or African American Beneficiaries |
374 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
149 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3119 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
734 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9536 |