National Provider Identifier [NPI]: |
1982668927 |
Last Name Of The Provider |
SALMAN |
First Name Of The Provider |
GHASSAN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12221 MOPAC EXPRESSWAY NORTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787582483 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
224 |
Number Of Services |
80035 |
Number Of Medicare Beneficiaries |
5829 |
Total Submitted Charge Amount |
1179679.11 |
Total Medicare Allowed Amount |
1093459.74 |
Total Medicare Payment Amount |
862772.09 |
Total Medicare Standardized Payment Amount |
874732.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
65701 |
Number Of Medicare Beneficiaries With Drug Services |
920 |
Total Drug Submitted ChargeAmount |
39012.42 |
Total Drug Medicare AllowedAmount |
38791.82 |
Total Drug Medicare PaymentAmount |
29965.08 |
Total Drug Medicare Standardized Payment Amount |
29965.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
218 |
Number Of Medical Services |
14334 |
Number Of Medicare Beneficiaries With Medical Services |
5825 |
Total Medical Submitted Charge Amount |
1140666.69 |
Total Medical Medicare Allowed Amount |
1054667.92 |
Total Medical Medicare Payment Amount |
832807.01 |
Total Medical Medicare Standardized Payment Amount |
844767.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
654 |
Number Of Beneficiaries Age 65 to 74 |
2737 |
Number Of Beneficiaries Age 75 to 84 |
1800 |
Number Of Beneficiaries Age Greater 84 |
638 |
Number Of Female Beneficiaries |
4186 |
Number Of Male Beneficiaries |
1643 |
Number Of Non Hispanic White Beneficiaries |
4658 |
Number Of Black or African American Beneficiaries |
378 |
Number Of AsianPacific Islander Beneficiaries |
203 |
Number Of Hispanic Beneficiaries |
519 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
5223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
606 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1237 |