National Provider Identifier [NPI]: |
1972507960 |
Last Name Of The Provider |
SHAH |
First Name Of The Provider |
MUNIR |
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 |
1441 WOODSTEAD CT |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
THE WOODLANDS |
Zip Code Of The Provider |
773801449 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
3568 |
Number Of Medicare Beneficiaries |
490 |
Total Submitted Charge Amount |
434141.67 |
Total Medicare Allowed Amount |
182869.38 |
Total Medicare Payment Amount |
133517.29 |
Total Medicare Standardized Payment Amount |
143990.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
986 |
Number Of Medicare Beneficiaries With Drug Services |
290 |
Total Drug Submitted ChargeAmount |
16303 |
Total Drug Medicare AllowedAmount |
8042.28 |
Total Drug Medicare PaymentAmount |
6204.66 |
Total Drug Medicare Standardized Payment Amount |
6204.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
2582 |
Number Of Medicare Beneficiaries With Medical Services |
490 |
Total Medical Submitted Charge Amount |
417838.67 |
Total Medical Medicare Allowed Amount |
174827.1 |
Total Medical Medicare Payment Amount |
127312.63 |
Total Medical Medicare Standardized Payment Amount |
137786.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
434 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
458 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1658 |