National Provider Identifier [NPI]: |
1417006313 |
Last Name Of The Provider |
KAHKESHANI |
First Name Of The Provider |
SAEED |
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 |
4201 GARTH RD |
Street Address 2 Of The Provider |
STE 211 |
City Of The Provider |
BAYTOWN |
Zip Code Of The Provider |
775213167 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
5412 |
Number Of Medicare Beneficiaries |
893 |
Total Submitted Charge Amount |
1160210 |
Total Medicare Allowed Amount |
593104.47 |
Total Medicare Payment Amount |
455316.5 |
Total Medicare Standardized Payment Amount |
452651.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
476 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
21370 |
Total Drug Medicare AllowedAmount |
2304.58 |
Total Drug Medicare PaymentAmount |
1782.24 |
Total Drug Medicare Standardized Payment Amount |
1782.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4936 |
Number Of Medicare Beneficiaries With Medical Services |
893 |
Total Medical Submitted Charge Amount |
1138840 |
Total Medical Medicare Allowed Amount |
590799.89 |
Total Medical Medicare Payment Amount |
453534.26 |
Total Medical Medicare Standardized Payment Amount |
450869.68 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
545 |
Number Of Male Beneficiaries |
348 |
Number Of Non Hispanic White Beneficiaries |
678 |
Number Of Black or African American Beneficiaries |
128 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
665 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
41 |
Average HCC Risk Score Of Beneficiaries |
1.9434 |