National Provider Identifier [NPI]: |
1407073273 |
Last Name Of The Provider |
QAZI |
First Name Of The Provider |
RIZWAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 S RANCHO DR |
Street Address 2 Of The Provider |
SUITE 12 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064844 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
17984 |
Number Of Medicare Beneficiaries |
799 |
Total Submitted Charge Amount |
5450585 |
Total Medicare Allowed Amount |
1126819.15 |
Total Medicare Payment Amount |
870881.45 |
Total Medicare Standardized Payment Amount |
845240.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14977 |
Number Of Medicare Beneficiaries With Drug Services |
248 |
Total Drug Submitted ChargeAmount |
31032 |
Total Drug Medicare AllowedAmount |
3215.27 |
Total Drug Medicare PaymentAmount |
2506.13 |
Total Drug Medicare Standardized Payment Amount |
2506.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3007 |
Number Of Medicare Beneficiaries With Medical Services |
799 |
Total Medical Submitted Charge Amount |
5419553 |
Total Medical Medicare Allowed Amount |
1123603.88 |
Total Medical Medicare Payment Amount |
868375.32 |
Total Medical Medicare Standardized Payment Amount |
842734.3 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
436 |
Number Of Non Hispanic White Beneficiaries |
401 |
Number Of Black or African American Beneficiaries |
175 |
Number Of AsianPacific Islander Beneficiaries |
79 |
Number Of Hispanic Beneficiaries |
114 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
276 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
5.7875 |