National Provider Identifier [NPI]: |
1083651210 |
Last Name Of The Provider |
PERVEZ |
First Name Of The Provider |
ASLAM |
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 |
2620 N 3RD ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850041153 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
20982 |
Number Of Medicare Beneficiaries |
669 |
Total Submitted Charge Amount |
4779747.8 |
Total Medicare Allowed Amount |
1290052.37 |
Total Medicare Payment Amount |
997961.63 |
Total Medicare Standardized Payment Amount |
1021972.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
16609 |
Number Of Medicare Beneficiaries With Drug Services |
321 |
Total Drug Submitted ChargeAmount |
41918.8 |
Total Drug Medicare AllowedAmount |
3702.86 |
Total Drug Medicare PaymentAmount |
2888.32 |
Total Drug Medicare Standardized Payment Amount |
2888.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
4373 |
Number Of Medicare Beneficiaries With Medical Services |
669 |
Total Medical Submitted Charge Amount |
4737829 |
Total Medical Medicare Allowed Amount |
1286349.51 |
Total Medical Medicare Payment Amount |
995073.31 |
Total Medical Medicare Standardized Payment Amount |
1019084.08 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
384 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
56 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
262 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
6.1676 |