National Provider Identifier [NPI]: |
1972896249 |
Last Name Of The Provider |
BUKHARI |
First Name Of The Provider |
AMJAD |
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 |
192 LONDON SHOPPING CTR |
Street Address 2 Of The Provider |
STE 2 |
City Of The Provider |
LONDON |
Zip Code Of The Provider |
407413015 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1438 |
Number Of Medicare Beneficiaries |
654 |
Total Submitted Charge Amount |
345091.46 |
Total Medicare Allowed Amount |
177457.08 |
Total Medicare Payment Amount |
134274.54 |
Total Medicare Standardized Payment Amount |
145057.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
390.46 |
Total Drug Medicare AllowedAmount |
122.92 |
Total Drug Medicare PaymentAmount |
84.23 |
Total Drug Medicare Standardized Payment Amount |
84.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1395 |
Number Of Medicare Beneficiaries With Medical Services |
654 |
Total Medical Submitted Charge Amount |
344701 |
Total Medical Medicare Allowed Amount |
177334.16 |
Total Medical Medicare Payment Amount |
134190.31 |
Total Medical Medicare Standardized Payment Amount |
144973.02 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
256 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
634 |
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 |
327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
327 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.685 |