National Provider Identifier [NPI]: |
1417905431 |
Last Name Of The Provider |
HUSSAIN |
First Name Of The Provider |
ATIF |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
614 S EDMONDS LN |
Street Address 2 Of The Provider |
STE. 101 |
City Of The Provider |
LEWISVILLE |
Zip Code Of The Provider |
750673624 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
4160 |
Number Of Medicare Beneficiaries |
821 |
Total Submitted Charge Amount |
405350.74 |
Total Medicare Allowed Amount |
354972.62 |
Total Medicare Payment Amount |
261580.82 |
Total Medicare Standardized Payment Amount |
283684.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
291 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
16402.93 |
Total Drug Medicare AllowedAmount |
14944.79 |
Total Drug Medicare PaymentAmount |
11134.96 |
Total Drug Medicare Standardized Payment Amount |
11134.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3869 |
Number Of Medicare Beneficiaries With Medical Services |
821 |
Total Medical Submitted Charge Amount |
388947.81 |
Total Medical Medicare Allowed Amount |
340027.83 |
Total Medical Medicare Payment Amount |
250445.86 |
Total Medical Medicare Standardized Payment Amount |
272549.59 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
392 |
Number Of Non Hispanic White Beneficiaries |
765 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
736 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4166 |