National Provider Identifier [NPI]: |
1023004587 |
Last Name Of The Provider |
ASGAR |
First Name Of The Provider |
MOHAMMED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13755 CICERO AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRESTWOOD |
Zip Code Of The Provider |
604451824 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
4296 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
834610.1 |
Total Medicare Allowed Amount |
408249.3 |
Total Medicare Payment Amount |
301063.07 |
Total Medicare Standardized Payment Amount |
290666.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
440 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
19022 |
Total Drug Medicare AllowedAmount |
2280.83 |
Total Drug Medicare PaymentAmount |
1942.06 |
Total Drug Medicare Standardized Payment Amount |
1942.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3856 |
Number Of Medicare Beneficiaries With Medical Services |
1024 |
Total Medical Submitted Charge Amount |
815588.1 |
Total Medical Medicare Allowed Amount |
405968.47 |
Total Medical Medicare Payment Amount |
299121.01 |
Total Medical Medicare Standardized Payment Amount |
288724.21 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
279 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
277 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
596 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
691 |
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 |
599 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
425 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.1616 |