National Provider Identifier [NPI]: |
1609086180 |
Last Name Of The Provider |
SHEIKH |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
211 SAINT FRANCIS DR |
Street Address 2 Of The Provider |
SUITE 32121 |
City Of The Provider |
CAPE GIRARDEAU |
Zip Code Of The Provider |
637035049 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
5132 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
629930 |
Total Medicare Allowed Amount |
177090.55 |
Total Medicare Payment Amount |
129457.91 |
Total Medicare Standardized Payment Amount |
138238.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3487 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
174347 |
Total Drug Medicare AllowedAmount |
50124.1 |
Total Drug Medicare PaymentAmount |
39286.1 |
Total Drug Medicare Standardized Payment Amount |
39286.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1645 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
455583 |
Total Medical Medicare Allowed Amount |
126966.45 |
Total Medical Medicare Payment Amount |
90171.81 |
Total Medical Medicare Standardized Payment Amount |
98952.89 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
352 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.843 |