National Provider Identifier [NPI]: |
1346449717 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
ASHIMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
832 PRINCETON AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352111320 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
5612 |
Number Of Medicare Beneficiaries |
203 |
Total Submitted Charge Amount |
200000.5 |
Total Medicare Allowed Amount |
125152.84 |
Total Medicare Payment Amount |
95559.95 |
Total Medicare Standardized Payment Amount |
101468.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
26 |
Number Of Drug Services |
3337 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
55444.5 |
Total Drug Medicare AllowedAmount |
33479.25 |
Total Drug Medicare PaymentAmount |
26268.77 |
Total Drug Medicare Standardized Payment Amount |
26268.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
2275 |
Number Of Medicare Beneficiaries With Medical Services |
203 |
Total Medical Submitted Charge Amount |
144556 |
Total Medical Medicare Allowed Amount |
91673.59 |
Total Medical Medicare Payment Amount |
69291.18 |
Total Medical Medicare Standardized Payment Amount |
75199.56 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
42 |
Number Of Non Hispanic White Beneficiaries |
112 |
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 |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.137 |