National Provider Identifier [NPI]: |
1265434898 |
Last Name Of The Provider |
ZAFAR |
First Name Of The Provider |
ABIDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2603 ELECTRIC AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
PORT HURON |
Zip Code Of The Provider |
480606588 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
4254 |
Number Of Medicare Beneficiaries |
850 |
Total Submitted Charge Amount |
630675 |
Total Medicare Allowed Amount |
415220.07 |
Total Medicare Payment Amount |
315536.41 |
Total Medicare Standardized Payment Amount |
325508.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
785 |
Total Drug Medicare AllowedAmount |
531.36 |
Total Drug Medicare PaymentAmount |
491.66 |
Total Drug Medicare Standardized Payment Amount |
491.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
4189 |
Number Of Medicare Beneficiaries With Medical Services |
850 |
Total Medical Submitted Charge Amount |
629890 |
Total Medical Medicare Allowed Amount |
414688.71 |
Total Medical Medicare Payment Amount |
315044.75 |
Total Medical Medicare Standardized Payment Amount |
325017.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
780 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
608 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.3069 |