| National Provider Identifier [NPI]: | 1285685834 |
| Last Name Of The Provider | FAROOQI |
| First Name Of The Provider | IKRAM |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. C.W.S. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 65 WALNUT ST |
| Street Address 2 Of The Provider | SUITE 360 |
| City Of The Provider | WELLESLEY |
| Zip Code Of The Provider | 024812118 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Geriatric Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 63 |
| Number Of Services | 8859 |
| Number Of Medicare Beneficiaries | 739 |
| Total Submitted Charge Amount | 1904922 |
| Total Medicare Allowed Amount | 732848.52 |
| Total Medicare Payment Amount | 565350.21 |
| Total Medicare Standardized Payment Amount | 533017.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 156 |
| Number Of Medicare Beneficiaries With Drug Services | 31 |
| Total Drug Submitted ChargeAmount | 4127 |
| Total Drug Medicare AllowedAmount | 2341.92 |
| Total Drug Medicare PaymentAmount | 2071 |
| Total Drug Medicare Standardized Payment Amount | 2071 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 8703 |
| Number Of Medicare Beneficiaries With Medical Services | 739 |
| Total Medical Submitted Charge Amount | 1900795 |
| Total Medical Medicare Allowed Amount | 730506.6 |
| Total Medical Medicare Payment Amount | 563279.21 |
| Total Medical Medicare Standardized Payment Amount | 530946.82 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 60 |
| Number Of Beneficiaries Age 65 to 74 | 155 |
| Number Of Beneficiaries Age 75 to 84 | 230 |
| Number Of Beneficiaries Age Greater 84 | 294 |
| Number Of Female Beneficiaries | 437 |
| Number Of Male Beneficiaries | 302 |
| Number Of Non Hispanic White Beneficiaries | 689 |
| Number Of Black or African American Beneficiaries | 21 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 527 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 212 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 49 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 51 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 62 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 31 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 2.038 |