National Provider Identifier [NPI]: |
1841227063 |
Last Name Of The Provider |
RAZZAK |
First Name Of The Provider |
NAJMA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3609 PARK EAST DR |
Street Address 2 Of The Provider |
207 |
City Of The Provider |
BEACHWOOD |
Zip Code Of The Provider |
441224331 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
516 |
Number Of Medicare Beneficiaries |
267 |
Total Submitted Charge Amount |
77270 |
Total Medicare Allowed Amount |
45508.8 |
Total Medicare Payment Amount |
35342.66 |
Total Medicare Standardized Payment Amount |
36109.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
516 |
Number Of Medicare Beneficiaries With Medical Services |
267 |
Total Medical Submitted Charge Amount |
77270 |
Total Medical Medicare Allowed Amount |
45508.8 |
Total Medical Medicare Payment Amount |
35342.66 |
Total Medical Medicare Standardized Payment Amount |
36109.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
154 |
Number Of Black or African American Beneficiaries |
102 |
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 |
136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
73 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
4.1445 |