National Provider Identifier [NPI]: |
1548295165 |
Last Name Of The Provider |
BAKHIT |
First Name Of The Provider |
CYRUS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1316 S JEFFERSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240164943 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
11771 |
Number Of Medicare Beneficiaries |
1014 |
Total Submitted Charge Amount |
3382592.4 |
Total Medicare Allowed Amount |
910098.36 |
Total Medicare Payment Amount |
641163.26 |
Total Medicare Standardized Payment Amount |
610139.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3758 |
Number Of Medicare Beneficiaries With Drug Services |
665 |
Total Drug Submitted ChargeAmount |
71183 |
Total Drug Medicare AllowedAmount |
7357.09 |
Total Drug Medicare PaymentAmount |
5263.56 |
Total Drug Medicare Standardized Payment Amount |
5263.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
8013 |
Number Of Medicare Beneficiaries With Medical Services |
1014 |
Total Medical Submitted Charge Amount |
3311409.4 |
Total Medical Medicare Allowed Amount |
902741.27 |
Total Medical Medicare Payment Amount |
635899.7 |
Total Medical Medicare Standardized Payment Amount |
604875.91 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
561 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
633 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
940 |
Number Of Black or African American Beneficiaries |
57 |
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 |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1207 |