National Provider Identifier [NPI]: |
1104873843 |
Last Name Of The Provider |
MALEK |
First Name Of The Provider |
KARIM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 QUINCY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROCKTON |
Zip Code Of The Provider |
023022864 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
69835 |
Number Of Medicare Beneficiaries |
374 |
Total Submitted Charge Amount |
3945203.04 |
Total Medicare Allowed Amount |
1614202.49 |
Total Medicare Payment Amount |
1261524.03 |
Total Medicare Standardized Payment Amount |
1247255.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
64954 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
3222637.04 |
Total Drug Medicare AllowedAmount |
1371657.86 |
Total Drug Medicare PaymentAmount |
1074740.56 |
Total Drug Medicare Standardized Payment Amount |
1074740.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4881 |
Number Of Medicare Beneficiaries With Medical Services |
374 |
Total Medical Submitted Charge Amount |
722566 |
Total Medical Medicare Allowed Amount |
242544.63 |
Total Medical Medicare Payment Amount |
186783.47 |
Total Medical Medicare Standardized Payment Amount |
172514.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
24 |
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 |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8998 |