National Provider Identifier [NPI]: |
1689840076 |
Last Name Of The Provider |
RAHMAN |
First Name Of The Provider |
ARIF |
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 |
7026 OLD KATY RD |
Street Address 2 Of The Provider |
SUITE 276 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242133 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
223 |
Number Of Services |
6424 |
Number Of Medicare Beneficiaries |
3877 |
Total Submitted Charge Amount |
875540 |
Total Medicare Allowed Amount |
180834.59 |
Total Medicare Payment Amount |
136913.48 |
Total Medicare Standardized Payment Amount |
143794.75 |
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 |
223 |
Number Of Medical Services |
6424 |
Number Of Medicare Beneficiaries With Medical Services |
3877 |
Total Medical Submitted Charge Amount |
875540 |
Total Medical Medicare Allowed Amount |
180834.59 |
Total Medical Medicare Payment Amount |
136913.48 |
Total Medical Medicare Standardized Payment Amount |
143794.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
627 |
Number Of Beneficiaries Age 65 to 74 |
1537 |
Number Of Beneficiaries Age 75 to 84 |
1082 |
Number Of Beneficiaries Age Greater 84 |
631 |
Number Of Female Beneficiaries |
2330 |
Number Of Male Beneficiaries |
1547 |
Number Of Non Hispanic White Beneficiaries |
2907 |
Number Of Black or African American Beneficiaries |
571 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
317 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
3068 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
809 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0601 |