National Provider Identifier [NPI]: |
1124018155 |
Last Name Of The Provider |
HAIDER |
First Name Of The Provider |
MUNAWAR |
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 |
1305 AIRPORT FWY |
Street Address 2 Of The Provider |
STE 220 |
City Of The Provider |
BEDFORD |
Zip Code Of The Provider |
760216605 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
4347 |
Number Of Medicare Beneficiaries |
673 |
Total Submitted Charge Amount |
560615 |
Total Medicare Allowed Amount |
242361.07 |
Total Medicare Payment Amount |
181681.45 |
Total Medicare Standardized Payment Amount |
184766.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
555 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
6192 |
Total Drug Medicare AllowedAmount |
3624.43 |
Total Drug Medicare PaymentAmount |
3245.24 |
Total Drug Medicare Standardized Payment Amount |
3245.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
3792 |
Number Of Medicare Beneficiaries With Medical Services |
673 |
Total Medical Submitted Charge Amount |
554423 |
Total Medical Medicare Allowed Amount |
238736.64 |
Total Medical Medicare Payment Amount |
178436.21 |
Total Medical Medicare Standardized Payment Amount |
181521.43 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
408 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
59 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
56 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3163 |