National Provider Identifier [NPI]: |
1265498752 |
Last Name Of The Provider |
SHIRWANY |
First Name Of The Provider |
ARSALAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6025 WALNUT GROVE RD |
Street Address 2 Of The Provider |
STE 112 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202131 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
8283 |
Number Of Medicare Beneficiaries |
2169 |
Total Submitted Charge Amount |
2307629 |
Total Medicare Allowed Amount |
524247.6 |
Total Medicare Payment Amount |
398372.27 |
Total Medicare Standardized Payment Amount |
427926.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
4161 |
Total Drug Medicare AllowedAmount |
1251.61 |
Total Drug Medicare PaymentAmount |
993.02 |
Total Drug Medicare Standardized Payment Amount |
993.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
8247 |
Number Of Medicare Beneficiaries With Medical Services |
2169 |
Total Medical Submitted Charge Amount |
2303468 |
Total Medical Medicare Allowed Amount |
522995.99 |
Total Medical Medicare Payment Amount |
397379.25 |
Total Medical Medicare Standardized Payment Amount |
426933.39 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
427 |
Number Of Beneficiaries Age 65 to 74 |
872 |
Number Of Beneficiaries Age 75 to 84 |
610 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
1125 |
Number Of Male Beneficiaries |
1044 |
Number Of Non Hispanic White Beneficiaries |
1533 |
Number Of Black or African American Beneficiaries |
594 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
528 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8902 |