National Provider Identifier [NPI]: |
1356334031 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD, FACC, FSCAI |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4201 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 380 |
City Of The Provider |
MCKINNEY |
Zip Code Of The Provider |
750691766 |
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 |
97 |
Number Of Services |
29851 |
Number Of Medicare Beneficiaries |
1059 |
Total Submitted Charge Amount |
4730581.11 |
Total Medicare Allowed Amount |
1111097.69 |
Total Medicare Payment Amount |
850825.07 |
Total Medicare Standardized Payment Amount |
899470.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22785 |
Number Of Medicare Beneficiaries With Drug Services |
408 |
Total Drug Submitted ChargeAmount |
224676.5 |
Total Drug Medicare AllowedAmount |
71552.11 |
Total Drug Medicare PaymentAmount |
55887.57 |
Total Drug Medicare Standardized Payment Amount |
55887.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
7066 |
Number Of Medicare Beneficiaries With Medical Services |
1056 |
Total Medical Submitted Charge Amount |
4505904.61 |
Total Medical Medicare Allowed Amount |
1039545.58 |
Total Medical Medicare Payment Amount |
794937.5 |
Total Medical Medicare Standardized Payment Amount |
843582.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
890 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
885 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.3402 |