National Provider Identifier [NPI]: |
1609851641 |
Last Name Of The Provider |
JAFRI |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6742 PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLEN PARK |
Zip Code Of The Provider |
481012034 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
4458 |
Number Of Medicare Beneficiaries |
2609 |
Total Submitted Charge Amount |
695020 |
Total Medicare Allowed Amount |
390648.77 |
Total Medicare Payment Amount |
301162.36 |
Total Medicare Standardized Payment Amount |
297261.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
484 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
31180 |
Total Drug Medicare AllowedAmount |
25628.55 |
Total Drug Medicare PaymentAmount |
20092.79 |
Total Drug Medicare Standardized Payment Amount |
20092.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3974 |
Number Of Medicare Beneficiaries With Medical Services |
2607 |
Total Medical Submitted Charge Amount |
663840 |
Total Medical Medicare Allowed Amount |
365020.22 |
Total Medical Medicare Payment Amount |
281069.57 |
Total Medical Medicare Standardized Payment Amount |
277168.42 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
459 |
Number Of Beneficiaries Age 65 to 74 |
788 |
Number Of Beneficiaries Age 75 to 84 |
736 |
Number Of Beneficiaries Age Greater 84 |
626 |
Number Of Female Beneficiaries |
1473 |
Number Of Male Beneficiaries |
1136 |
Number Of Non Hispanic White Beneficiaries |
2062 |
Number Of Black or African American Beneficiaries |
395 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1875 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
734 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.2668 |