National Provider Identifier [NPI]: |
1619102134 |
Last Name Of The Provider |
MURSHED |
First Name Of The Provider |
NAWAF |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12701 TELEGRAPH RD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
TAYLOR |
Zip Code Of The Provider |
481806847 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
6310 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
851639 |
Total Medicare Allowed Amount |
556949.66 |
Total Medicare Payment Amount |
431292.94 |
Total Medicare Standardized Payment Amount |
418403.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1515 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
11650 |
Total Drug Medicare AllowedAmount |
7573.15 |
Total Drug Medicare PaymentAmount |
5937.32 |
Total Drug Medicare Standardized Payment Amount |
5937.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4795 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
839989 |
Total Medical Medicare Allowed Amount |
549376.51 |
Total Medical Medicare Payment Amount |
425355.62 |
Total Medical Medicare Standardized Payment Amount |
412466.3 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
319 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
630 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
782 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
616 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
427 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
39 |
Average HCC Risk Score Of Beneficiaries |
2.4141 |