| National Provider Identifier [NPI]: | 1013980531 |
| Last Name Of The Provider | KASMIKHA |
| First Name Of The Provider | RIYADH |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 28500 SOUTHFIELD RD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | LATHRUP VILLAGE |
| Zip Code Of The Provider | 480762722 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 64 |
| Number Of Services | 7616 |
| Number Of Medicare Beneficiaries | 491 |
| Total Submitted Charge Amount | 692614.33 |
| Total Medicare Allowed Amount | 514029.92 |
| Total Medicare Payment Amount | 389609.36 |
| Total Medicare Standardized Payment Amount | 375347.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 458 |
| Number Of Medicare Beneficiaries With Drug Services | 205 |
| Total Drug Submitted ChargeAmount | 10360 |
| Total Drug Medicare AllowedAmount | 2858.74 |
| Total Drug Medicare PaymentAmount | 2651.83 |
| Total Drug Medicare Standardized Payment Amount | 2651.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 56 |
| Number Of Medical Services | 7158 |
| Number Of Medicare Beneficiaries With Medical Services | 491 |
| Total Medical Submitted Charge Amount | 682254.33 |
| Total Medical Medicare Allowed Amount | 511171.18 |
| Total Medical Medicare Payment Amount | 386957.53 |
| Total Medical Medicare Standardized Payment Amount | 372695.58 |
| Average Age Of Beneficiaries | 58 |
| Number Of Beneficiaries Age Less65 | 326 |
| Number Of Beneficiaries Age 65 to 74 | 112 |
| Number Of Beneficiaries Age 75 to 84 | 39 |
| Number Of Beneficiaries Age Greater 84 | 14 |
| Number Of Female Beneficiaries | 243 |
| Number Of Male Beneficiaries | 248 |
| Number Of Non Hispanic White Beneficiaries | 188 |
| Number Of Black or African American Beneficiaries | 263 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 132 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 359 |
| Percent Of With Atrial Fibrillation | 3 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 31 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 49 |
| Percent Of With Depression | 44 |
| Percent Of With Diabetes | 71 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 70 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 25 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.643 |