National Provider Identifier [NPI]: |
1043291081 |
Last Name Of The Provider |
NAZEER |
First Name Of The Provider |
KHURRAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
234 EAST GRAY |
Street Address 2 Of The Provider |
SUITE 858 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402021715 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
3923 |
Number Of Medicare Beneficiaries |
918 |
Total Submitted Charge Amount |
472298 |
Total Medicare Allowed Amount |
420180.51 |
Total Medicare Payment Amount |
321192.68 |
Total Medicare Standardized Payment Amount |
337670.32 |
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 |
22 |
Number Of Medical Services |
3923 |
Number Of Medicare Beneficiaries With Medical Services |
918 |
Total Medical Submitted Charge Amount |
472298 |
Total Medical Medicare Allowed Amount |
420180.51 |
Total Medical Medicare Payment Amount |
321192.68 |
Total Medical Medicare Standardized Payment Amount |
337670.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
441 |
Number Of Non Hispanic White Beneficiaries |
787 |
Number Of Black or African American Beneficiaries |
117 |
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 |
581 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
337 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.8612 |