National Provider Identifier [NPI]: |
1023077161 |
Last Name Of The Provider |
SIDDIQI |
First Name Of The Provider |
RASHID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1602 W BAKER RD |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
BAYTOWN |
Zip Code Of The Provider |
775212282 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
8477 |
Number Of Medicare Beneficiaries |
760 |
Total Submitted Charge Amount |
1616316.56 |
Total Medicare Allowed Amount |
899955.28 |
Total Medicare Payment Amount |
698374.39 |
Total Medicare Standardized Payment Amount |
693169.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
504 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
32924 |
Total Drug Medicare AllowedAmount |
23078.98 |
Total Drug Medicare PaymentAmount |
17868.79 |
Total Drug Medicare Standardized Payment Amount |
17868.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
7973 |
Number Of Medicare Beneficiaries With Medical Services |
760 |
Total Medical Submitted Charge Amount |
1583392.56 |
Total Medical Medicare Allowed Amount |
876876.3 |
Total Medical Medicare Payment Amount |
680505.6 |
Total Medical Medicare Standardized Payment Amount |
675300.46 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
250 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
421 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
450 |
Number Of Black or African American Beneficiaries |
154 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
363 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
30 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.6594 |