National Provider Identifier [NPI]: |
1083719991 |
Last Name Of The Provider |
AKHTER |
First Name Of The Provider |
IQBAL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1007 S.42ND ST. |
Street Address 2 Of The Provider |
BLDG A STE. 4 |
City Of The Provider |
MOUNT VERNON |
Zip Code Of The Provider |
62864 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
14700 |
Number Of Medicare Beneficiaries |
509 |
Total Submitted Charge Amount |
1609444.5 |
Total Medicare Allowed Amount |
788497.54 |
Total Medicare Payment Amount |
599955.91 |
Total Medicare Standardized Payment Amount |
607058.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
12679 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
1114815.5 |
Total Drug Medicare AllowedAmount |
629857.85 |
Total Drug Medicare PaymentAmount |
485401.11 |
Total Drug Medicare Standardized Payment Amount |
485401.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
2021 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
494629 |
Total Medical Medicare Allowed Amount |
158639.69 |
Total Medical Medicare Payment Amount |
114554.8 |
Total Medical Medicare Standardized Payment Amount |
121657.02 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
484 |
Number Of Black or African American Beneficiaries |
|
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 |
351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2903 |