National Provider Identifier [NPI]: |
1881618957 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
MUNIR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1202 W FRANK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUFKIN |
Zip Code Of The Provider |
759043304 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
128630 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
8675885.5 |
Total Medicare Allowed Amount |
1916667.3 |
Total Medicare Payment Amount |
1493129.63 |
Total Medicare Standardized Payment Amount |
1491889.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
52 |
Number Of Drug Services |
118233 |
Number Of Medicare Beneficiaries With Drug Services |
180 |
Total Drug Submitted ChargeAmount |
5958605.5 |
Total Drug Medicare AllowedAmount |
1337183.48 |
Total Drug Medicare PaymentAmount |
1045133.23 |
Total Drug Medicare Standardized Payment Amount |
1045133.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
10397 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
2717280 |
Total Medical Medicare Allowed Amount |
579483.82 |
Total Medical Medicare Payment Amount |
447996.4 |
Total Medical Medicare Standardized Payment Amount |
446756.73 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
246 |
Number Of Non Hispanic White Beneficiaries |
417 |
Number Of Black or African American Beneficiaries |
90 |
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 |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2136 |