National Provider Identifier [NPI]: |
1194973701 |
Last Name Of The Provider |
CHAUDHRY |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
703 E MARSHALL AVE |
Street Address 2 Of The Provider |
SUITE 5008 |
City Of The Provider |
LONGVIEW |
Zip Code Of The Provider |
756015500 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2154 |
Number Of Medicare Beneficiaries |
845 |
Total Submitted Charge Amount |
422190.48 |
Total Medicare Allowed Amount |
131039.66 |
Total Medicare Payment Amount |
100373.08 |
Total Medicare Standardized Payment Amount |
104829 |
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 |
51 |
Number Of Medical Services |
2154 |
Number Of Medicare Beneficiaries With Medical Services |
845 |
Total Medical Submitted Charge Amount |
422190.48 |
Total Medical Medicare Allowed Amount |
131039.66 |
Total Medical Medicare Payment Amount |
100373.08 |
Total Medical Medicare Standardized Payment Amount |
104829 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
658 |
Number Of Black or African American Beneficiaries |
168 |
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 |
587 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8798 |