National Provider Identifier [NPI]: |
1992768147 |
Last Name Of The Provider |
IMAM |
First Name Of The Provider |
NAIYER |
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 |
7636 WILLIAMSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240194341 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
15968 |
Number Of Medicare Beneficiaries |
6843 |
Total Submitted Charge Amount |
2213723.61 |
Total Medicare Allowed Amount |
215727.06 |
Total Medicare Payment Amount |
168988.83 |
Total Medicare Standardized Payment Amount |
149199.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
15968 |
Number Of Medicare Beneficiaries With Medical Services |
6843 |
Total Medical Submitted Charge Amount |
2213723.61 |
Total Medical Medicare Allowed Amount |
215727.06 |
Total Medical Medicare Payment Amount |
168988.83 |
Total Medical Medicare Standardized Payment Amount |
149199.06 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
922 |
Number Of Beneficiaries Age 65 to 74 |
1239 |
Number Of Beneficiaries Age 75 to 84 |
1853 |
Number Of Beneficiaries Age Greater 84 |
2829 |
Number Of Female Beneficiaries |
4464 |
Number Of Male Beneficiaries |
2379 |
Number Of Non Hispanic White Beneficiaries |
5043 |
Number Of Black or African American Beneficiaries |
756 |
Number Of AsianPacific Islander Beneficiaries |
90 |
Number Of Hispanic Beneficiaries |
908 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
4366 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
73 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
29 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.5756 |