National Provider Identifier [NPI]: |
1366443343 |
Last Name Of The Provider |
AZIZ |
First Name Of The Provider |
GHULAM |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16218 SAINT CLAIR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST LIVERPOOL |
Zip Code Of The Provider |
439209449 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
11433 |
Number Of Medicare Beneficiaries |
960 |
Total Submitted Charge Amount |
1202165 |
Total Medicare Allowed Amount |
785848.94 |
Total Medicare Payment Amount |
600975.64 |
Total Medicare Standardized Payment Amount |
625622.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
600 |
Number Of Medicare Beneficiaries With Drug Services |
206 |
Total Drug Submitted ChargeAmount |
12754 |
Total Drug Medicare AllowedAmount |
10712.75 |
Total Drug Medicare PaymentAmount |
10313.05 |
Total Drug Medicare Standardized Payment Amount |
10313.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
10833 |
Number Of Medicare Beneficiaries With Medical Services |
960 |
Total Medical Submitted Charge Amount |
1189411 |
Total Medical Medicare Allowed Amount |
775136.19 |
Total Medical Medicare Payment Amount |
590662.59 |
Total Medical Medicare Standardized Payment Amount |
615309.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
216 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
508 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
902 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
629 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
40 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
64 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0306 |