National Provider Identifier [NPI]: |
1205050655 |
Last Name Of The Provider |
BOKHARI |
First Name Of The Provider |
ISMAIL |
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 |
1720 E BEVERLY AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
KINGMAN |
Zip Code Of The Provider |
864093567 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
12242 |
Number Of Medicare Beneficiaries |
2082 |
Total Submitted Charge Amount |
1257898 |
Total Medicare Allowed Amount |
846891.95 |
Total Medicare Payment Amount |
639422.17 |
Total Medicare Standardized Payment Amount |
652268.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
870 |
Number Of Medicare Beneficiaries With Drug Services |
178 |
Total Drug Submitted ChargeAmount |
26307 |
Total Drug Medicare AllowedAmount |
700.13 |
Total Drug Medicare PaymentAmount |
534.13 |
Total Drug Medicare Standardized Payment Amount |
534.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
11372 |
Number Of Medicare Beneficiaries With Medical Services |
2082 |
Total Medical Submitted Charge Amount |
1231591 |
Total Medical Medicare Allowed Amount |
846191.82 |
Total Medical Medicare Payment Amount |
638888.04 |
Total Medical Medicare Standardized Payment Amount |
651734.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
284 |
Number Of Beneficiaries Age 65 to 74 |
793 |
Number Of Beneficiaries Age 75 to 84 |
687 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
1022 |
Number Of Male Beneficiaries |
1060 |
Number Of Non Hispanic White Beneficiaries |
1904 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
405 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6532 |