National Provider Identifier [NPI]: |
1538220363 |
Last Name Of The Provider |
AL-SADIR |
First Name Of The Provider |
JAFAR |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
180 HARVESTER DR STE 110 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BURR RIDGE |
Zip Code Of The Provider |
605276686 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
1404 |
Number Of Medicare Beneficiaries |
762 |
Total Submitted Charge Amount |
330702 |
Total Medicare Allowed Amount |
107450.8 |
Total Medicare Payment Amount |
81135.77 |
Total Medicare Standardized Payment Amount |
75724.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1404 |
Number Of Medicare Beneficiaries With Medical Services |
762 |
Total Medical Submitted Charge Amount |
330702 |
Total Medical Medicare Allowed Amount |
107450.8 |
Total Medical Medicare Payment Amount |
81135.77 |
Total Medical Medicare Standardized Payment Amount |
75724.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
260 |
Number Of Black or African American Beneficiaries |
460 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
301 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.4991 |