National Provider Identifier [NPI]: |
1932439858 |
Last Name Of The Provider |
SALEEM |
First Name Of The Provider |
KASHIF |
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 |
3502 9TH ST |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
LUBBOCK |
Zip Code Of The Provider |
794153300 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1815 |
Number Of Medicare Beneficiaries |
343 |
Total Submitted Charge Amount |
265343 |
Total Medicare Allowed Amount |
148645.57 |
Total Medicare Payment Amount |
107868.59 |
Total Medicare Standardized Payment Amount |
116020.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
400 |
Total Drug Medicare AllowedAmount |
208.43 |
Total Drug Medicare PaymentAmount |
196.59 |
Total Drug Medicare Standardized Payment Amount |
196.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1803 |
Number Of Medicare Beneficiaries With Medical Services |
343 |
Total Medical Submitted Charge Amount |
264943 |
Total Medical Medicare Allowed Amount |
148437.14 |
Total Medical Medicare Payment Amount |
107672 |
Total Medical Medicare Standardized Payment Amount |
115823.78 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
225 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7653 |