National Provider Identifier [NPI]: |
1528091964 |
Last Name Of The Provider |
JAVAID |
First Name Of The Provider |
MAZHAR |
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 |
94 |
Number Of Services |
6446 |
Number Of Medicare Beneficiaries |
1064 |
Total Submitted Charge Amount |
1250556.16 |
Total Medicare Allowed Amount |
609715.72 |
Total Medicare Payment Amount |
456579.31 |
Total Medicare Standardized Payment Amount |
441393.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
670 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
4932.75 |
Total Drug Medicare AllowedAmount |
3231.49 |
Total Drug Medicare PaymentAmount |
2998.89 |
Total Drug Medicare Standardized Payment Amount |
2998.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
5776 |
Number Of Medicare Beneficiaries With Medical Services |
1064 |
Total Medical Submitted Charge Amount |
1245623.41 |
Total Medical Medicare Allowed Amount |
606484.23 |
Total Medical Medicare Payment Amount |
453580.42 |
Total Medical Medicare Standardized Payment Amount |
438394.22 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
431 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
569 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
584 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
401 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
463 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4354 |