National Provider Identifier [NPI]: |
1932143666 |
Last Name Of The Provider |
MEMON |
First Name Of The Provider |
JUNAID |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1508 SOUTH BROAD STREET |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SCOTTSBORO |
Zip Code Of The Provider |
357682668 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
17428 |
Number Of Medicare Beneficiaries |
660 |
Total Submitted Charge Amount |
1237150.01 |
Total Medicare Allowed Amount |
823465.26 |
Total Medicare Payment Amount |
597232.86 |
Total Medicare Standardized Payment Amount |
617568.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
3849 |
Number Of Medicare Beneficiaries With Drug Services |
524 |
Total Drug Submitted ChargeAmount |
179317.01 |
Total Drug Medicare AllowedAmount |
16575.16 |
Total Drug Medicare PaymentAmount |
14019.82 |
Total Drug Medicare Standardized Payment Amount |
14019.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
13579 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
1057833 |
Total Medical Medicare Allowed Amount |
806890.1 |
Total Medical Medicare Payment Amount |
583213.04 |
Total Medical Medicare Standardized Payment Amount |
603548.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
249 |
Number Of Non Hispanic White Beneficiaries |
626 |
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 |
424 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
236 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2391 |