National Provider Identifier [NPI]: |
1184615205 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
PARVEZ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
861 MONROE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481242308 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
108027 |
Number Of Medicare Beneficiaries |
1074 |
Total Submitted Charge Amount |
2388696 |
Total Medicare Allowed Amount |
1518934.29 |
Total Medicare Payment Amount |
1183837.83 |
Total Medicare Standardized Payment Amount |
1173608.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
47 |
Number Of Drug Services |
101417 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
1801553 |
Total Drug Medicare AllowedAmount |
1182119.14 |
Total Drug Medicare PaymentAmount |
925634.42 |
Total Drug Medicare Standardized Payment Amount |
925634.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
6610 |
Number Of Medicare Beneficiaries With Medical Services |
1074 |
Total Medical Submitted Charge Amount |
587143 |
Total Medical Medicare Allowed Amount |
336815.15 |
Total Medical Medicare Payment Amount |
258203.41 |
Total Medical Medicare Standardized Payment Amount |
247973.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
228 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
654 |
Number Of Male Beneficiaries |
420 |
Number Of Non Hispanic White Beneficiaries |
805 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.503 |