National Provider Identifier [NPI]: |
1326048976 |
Last Name Of The Provider |
MUNIM |
First Name Of The Provider |
MASROOR |
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 |
7200 W GREENFIELD AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST ALLIS |
Zip Code Of The Provider |
53214 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1336 |
Number Of Medicare Beneficiaries |
213 |
Total Submitted Charge Amount |
207609.91 |
Total Medicare Allowed Amount |
117322.09 |
Total Medicare Payment Amount |
88635.34 |
Total Medicare Standardized Payment Amount |
91819.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
675 |
Total Drug Medicare AllowedAmount |
348.89 |
Total Drug Medicare PaymentAmount |
339.89 |
Total Drug Medicare Standardized Payment Amount |
339.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1305 |
Number Of Medicare Beneficiaries With Medical Services |
213 |
Total Medical Submitted Charge Amount |
206934.91 |
Total Medical Medicare Allowed Amount |
116973.2 |
Total Medical Medicare Payment Amount |
88295.45 |
Total Medical Medicare Standardized Payment Amount |
91480.07 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
25 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
126 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
150 |
Number Of Black or African American Beneficiaries |
38 |
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 |
99 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
62 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
31 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.514 |