National Provider Identifier [NPI]: |
1750341533 |
Last Name Of The Provider |
MALIK |
First Name Of The Provider |
RAKESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19785 CRYSTAL ROCK DR |
Street Address 2 Of The Provider |
SUITE 209 |
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
208744700 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2189 |
Number Of Medicare Beneficiaries |
401 |
Total Submitted Charge Amount |
263130 |
Total Medicare Allowed Amount |
205623.42 |
Total Medicare Payment Amount |
149513.51 |
Total Medicare Standardized Payment Amount |
133590.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
6385 |
Total Drug Medicare AllowedAmount |
3662.51 |
Total Drug Medicare PaymentAmount |
3552.5 |
Total Drug Medicare Standardized Payment Amount |
3552.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2028 |
Number Of Medicare Beneficiaries With Medical Services |
401 |
Total Medical Submitted Charge Amount |
256745 |
Total Medical Medicare Allowed Amount |
201960.91 |
Total Medical Medicare Payment Amount |
145961.01 |
Total Medical Medicare Standardized Payment Amount |
130038.4 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
68 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0188 |