National Provider Identifier [NPI]: |
1073518569 |
Last Name Of The Provider |
BAIG |
First Name Of The Provider |
MUKARRAM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13325 HARGRAVE RD STE 150 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770704541 |
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 |
85 |
Number Of Services |
7065 |
Number Of Medicare Beneficiaries |
1613 |
Total Submitted Charge Amount |
1873023 |
Total Medicare Allowed Amount |
617135.03 |
Total Medicare Payment Amount |
464806.25 |
Total Medicare Standardized Payment Amount |
467873.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
877 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
171425 |
Total Drug Medicare AllowedAmount |
43770.56 |
Total Drug Medicare PaymentAmount |
33446.86 |
Total Drug Medicare Standardized Payment Amount |
33446.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
6188 |
Number Of Medicare Beneficiaries With Medical Services |
1613 |
Total Medical Submitted Charge Amount |
1701598 |
Total Medical Medicare Allowed Amount |
573364.47 |
Total Medical Medicare Payment Amount |
431359.39 |
Total Medical Medicare Standardized Payment Amount |
434426.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
632 |
Number Of Beneficiaries Age 75 to 84 |
487 |
Number Of Beneficiaries Age Greater 84 |
265 |
Number Of Female Beneficiaries |
923 |
Number Of Male Beneficiaries |
690 |
Number Of Non Hispanic White Beneficiaries |
1021 |
Number Of Black or African American Beneficiaries |
343 |
Number Of AsianPacific Islander Beneficiaries |
77 |
Number Of Hispanic Beneficiaries |
144 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
359 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2508 |