National Provider Identifier [NPI]: |
1184680548 |
Last Name Of The Provider |
QAZI |
First Name Of The Provider |
NAEEM |
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 |
15 WESTWOOD MEDICAL PARK |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLUEFIELD |
Zip Code Of The Provider |
246052000 |
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 |
42 |
Number Of Services |
8655 |
Number Of Medicare Beneficiaries |
2229 |
Total Submitted Charge Amount |
1653793 |
Total Medicare Allowed Amount |
665199.45 |
Total Medicare Payment Amount |
492202.41 |
Total Medicare Standardized Payment Amount |
510971.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
1106 |
Total Drug Medicare AllowedAmount |
697.43 |
Total Drug Medicare PaymentAmount |
665.73 |
Total Drug Medicare Standardized Payment Amount |
665.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
8583 |
Number Of Medicare Beneficiaries With Medical Services |
2229 |
Total Medical Submitted Charge Amount |
1652687 |
Total Medical Medicare Allowed Amount |
664502.02 |
Total Medical Medicare Payment Amount |
491536.68 |
Total Medical Medicare Standardized Payment Amount |
510305.66 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
604 |
Number Of Beneficiaries Age 65 to 74 |
761 |
Number Of Beneficiaries Age 75 to 84 |
580 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
1251 |
Number Of Male Beneficiaries |
978 |
Number Of Non Hispanic White Beneficiaries |
2078 |
Number Of Black or African American Beneficiaries |
134 |
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 |
1385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
844 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.594 |