National Provider Identifier [NPI]: |
1184684680 |
Last Name Of The Provider |
QAZI |
First Name Of The Provider |
MAJID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D. O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28080 GRAND RIVER AVE |
Street Address 2 Of The Provider |
SUITE 300W |
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483365966 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
6610 |
Number Of Medicare Beneficiaries |
1726 |
Total Submitted Charge Amount |
838308 |
Total Medicare Allowed Amount |
542293.31 |
Total Medicare Payment Amount |
411768.97 |
Total Medicare Standardized Payment Amount |
409295.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
201 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
11822 |
Total Drug Medicare AllowedAmount |
10052.59 |
Total Drug Medicare PaymentAmount |
7887.9 |
Total Drug Medicare Standardized Payment Amount |
7887.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
6409 |
Number Of Medicare Beneficiaries With Medical Services |
1726 |
Total Medical Submitted Charge Amount |
826486 |
Total Medical Medicare Allowed Amount |
532240.72 |
Total Medical Medicare Payment Amount |
403881.07 |
Total Medical Medicare Standardized Payment Amount |
401407.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
337 |
Number Of Beneficiaries Age 65 to 74 |
594 |
Number Of Beneficiaries Age 75 to 84 |
450 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
974 |
Number Of Male Beneficiaries |
752 |
Number Of Non Hispanic White Beneficiaries |
1044 |
Number Of Black or African American Beneficiaries |
643 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
514 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.383 |