National Provider Identifier [NPI]: |
1487699310 |
Last Name Of The Provider |
GHUMAN |
First Name Of The Provider |
BABUK |
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 |
7140 SMOKE RANCH RD |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891288393 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4194 |
Number Of Medicare Beneficiaries |
553 |
Total Submitted Charge Amount |
3447100.5 |
Total Medicare Allowed Amount |
334412.61 |
Total Medicare Payment Amount |
244459.73 |
Total Medicare Standardized Payment Amount |
214107.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
540 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
10800 |
Total Drug Medicare AllowedAmount |
181.27 |
Total Drug Medicare PaymentAmount |
128.75 |
Total Drug Medicare Standardized Payment Amount |
128.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3654 |
Number Of Medicare Beneficiaries With Medical Services |
553 |
Total Medical Submitted Charge Amount |
3436300.5 |
Total Medical Medicare Allowed Amount |
334231.34 |
Total Medical Medicare Payment Amount |
244330.98 |
Total Medical Medicare Standardized Payment Amount |
213979.2 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
269 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
341 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
88 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2227 |