National Provider Identifier [NPI]: |
1700802709 |
Last Name Of The Provider |
RAUF |
First Name Of The Provider |
KHALID |
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 |
1280 E ALMOND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADERA |
Zip Code Of The Provider |
936375606 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
3679 |
Number Of Medicare Beneficiaries |
782 |
Total Submitted Charge Amount |
656712.5 |
Total Medicare Allowed Amount |
335826.4 |
Total Medicare Payment Amount |
248768.48 |
Total Medicare Standardized Payment Amount |
242687.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
251 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
2098.5 |
Total Drug Medicare AllowedAmount |
1342.5 |
Total Drug Medicare PaymentAmount |
1265.84 |
Total Drug Medicare Standardized Payment Amount |
1265.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3428 |
Number Of Medicare Beneficiaries With Medical Services |
782 |
Total Medical Submitted Charge Amount |
654614 |
Total Medical Medicare Allowed Amount |
334483.9 |
Total Medical Medicare Payment Amount |
247502.64 |
Total Medical Medicare Standardized Payment Amount |
241421.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
289 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
383 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5121 |