National Provider Identifier [NPI]: |
1912999426 |
Last Name Of The Provider |
JAFAR |
First Name Of The Provider |
AMAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3531 TOWN CENTER BLVD S |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
SUGAR LAND |
Zip Code Of The Provider |
774792591 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
6934 |
Number Of Medicare Beneficiaries |
865 |
Total Submitted Charge Amount |
1152995 |
Total Medicare Allowed Amount |
605313.28 |
Total Medicare Payment Amount |
466761.03 |
Total Medicare Standardized Payment Amount |
478475.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
230 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
5465 |
Total Drug Medicare AllowedAmount |
1898.59 |
Total Drug Medicare PaymentAmount |
1799.51 |
Total Drug Medicare Standardized Payment Amount |
1799.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
6704 |
Number Of Medicare Beneficiaries With Medical Services |
865 |
Total Medical Submitted Charge Amount |
1147530 |
Total Medical Medicare Allowed Amount |
603414.69 |
Total Medical Medicare Payment Amount |
464961.52 |
Total Medical Medicare Standardized Payment Amount |
476676.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
313 |
Number Of AsianPacific Islander Beneficiaries |
65 |
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
304 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
561 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
52 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
37 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.6853 |