National Provider Identifier [NPI]: |
1205886900 |
Last Name Of The Provider |
FARUQI |
First Name Of The Provider |
NADEEM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
563 SOUTHPARK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLONIAL HEIGHTS |
Zip Code Of The Provider |
238343610 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
3077 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
513305 |
Total Medicare Allowed Amount |
297300.79 |
Total Medicare Payment Amount |
220975.66 |
Total Medicare Standardized Payment Amount |
229557.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
330 |
Total Drug Medicare AllowedAmount |
46.58 |
Total Drug Medicare PaymentAmount |
36.51 |
Total Drug Medicare Standardized Payment Amount |
36.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
3011 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
512975 |
Total Medical Medicare Allowed Amount |
297254.21 |
Total Medical Medicare Payment Amount |
220939.15 |
Total Medical Medicare Standardized Payment Amount |
229520.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
391 |
Number Of Black or African American Beneficiaries |
412 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
525 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2297 |