National Provider Identifier [NPI]: |
1548391485 |
Last Name Of The Provider |
SAQER |
First Name Of The Provider |
GHADA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3074 COLLEGE PARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONROE |
Zip Code Of The Provider |
773848002 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
4866 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
459052 |
Total Medicare Allowed Amount |
197293.62 |
Total Medicare Payment Amount |
148182.59 |
Total Medicare Standardized Payment Amount |
155557.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
937.45 |
Total Drug Medicare AllowedAmount |
457.96 |
Total Drug Medicare PaymentAmount |
435.73 |
Total Drug Medicare Standardized Payment Amount |
435.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
4822 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
458114.55 |
Total Medical Medicare Allowed Amount |
196835.66 |
Total Medical Medicare Payment Amount |
147746.86 |
Total Medical Medicare Standardized Payment Amount |
155121.8 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
274 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
311 |
Number Of Black or African American Beneficiaries |
75 |
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 |
185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5041 |