National Provider Identifier [NPI]: |
1013972538 |
Last Name Of The Provider |
SHEIKH |
First Name Of The Provider |
AZHAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1060 WILLIAM WAY NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
373124369 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
6894 |
Number Of Medicare Beneficiaries |
1352 |
Total Submitted Charge Amount |
796116.5 |
Total Medicare Allowed Amount |
461439.66 |
Total Medicare Payment Amount |
332974.96 |
Total Medicare Standardized Payment Amount |
359029.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
839 |
Number Of Medicare Beneficiaries With Drug Services |
365 |
Total Drug Submitted ChargeAmount |
24811.5 |
Total Drug Medicare AllowedAmount |
10335.39 |
Total Drug Medicare PaymentAmount |
9971.48 |
Total Drug Medicare Standardized Payment Amount |
9971.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
6055 |
Number Of Medicare Beneficiaries With Medical Services |
1352 |
Total Medical Submitted Charge Amount |
771305 |
Total Medical Medicare Allowed Amount |
451104.27 |
Total Medical Medicare Payment Amount |
323003.48 |
Total Medical Medicare Standardized Payment Amount |
349058.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
300 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
815 |
Number Of Male Beneficiaries |
537 |
Number Of Non Hispanic White Beneficiaries |
1302 |
Number Of Black or African American Beneficiaries |
30 |
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 |
888 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
464 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4602 |