National Provider Identifier [NPI]: |
1598766321 |
Last Name Of The Provider |
KABIR |
First Name Of The Provider |
SAIFUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1210 MEDICAL ARTS BLVD |
Street Address 2 Of The Provider |
SUITE 214 |
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
460113461 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5398 |
Number Of Medicare Beneficiaries |
1320 |
Total Submitted Charge Amount |
872160 |
Total Medicare Allowed Amount |
572528.98 |
Total Medicare Payment Amount |
439558.42 |
Total Medicare Standardized Payment Amount |
461942.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
41 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
615 |
Total Drug Medicare AllowedAmount |
487.49 |
Total Drug Medicare PaymentAmount |
477.65 |
Total Drug Medicare Standardized Payment Amount |
477.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5357 |
Number Of Medicare Beneficiaries With Medical Services |
1320 |
Total Medical Submitted Charge Amount |
871545 |
Total Medical Medicare Allowed Amount |
572041.49 |
Total Medical Medicare Payment Amount |
439080.77 |
Total Medical Medicare Standardized Payment Amount |
461464.87 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
397 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
710 |
Number Of Male Beneficiaries |
610 |
Number Of Non Hispanic White Beneficiaries |
1211 |
Number Of Black or African American Beneficiaries |
91 |
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 |
981 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
339 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0409 |