National Provider Identifier [NPI]: |
1407897259 |
Last Name Of The Provider |
SALIM |
First Name Of The Provider |
MUHAMMAD |
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 |
3500 HEALTHPLEX PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730729738 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
9251 |
Number Of Medicare Beneficiaries |
1672 |
Total Submitted Charge Amount |
1540975.18 |
Total Medicare Allowed Amount |
661458.05 |
Total Medicare Payment Amount |
488053.57 |
Total Medicare Standardized Payment Amount |
532995.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
573 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
51500 |
Total Drug Medicare AllowedAmount |
30362.37 |
Total Drug Medicare PaymentAmount |
23570.04 |
Total Drug Medicare Standardized Payment Amount |
23570.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
8678 |
Number Of Medicare Beneficiaries With Medical Services |
1672 |
Total Medical Submitted Charge Amount |
1489475.18 |
Total Medical Medicare Allowed Amount |
631095.68 |
Total Medical Medicare Payment Amount |
464483.53 |
Total Medical Medicare Standardized Payment Amount |
509425.33 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
658 |
Number Of Beneficiaries Age 75 to 84 |
573 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
869 |
Number Of Male Beneficiaries |
803 |
Number Of Non Hispanic White Beneficiaries |
1554 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
57 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1424 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4665 |