National Provider Identifier [NPI]: |
1811956139 |
Last Name Of The Provider |
SALKA |
First Name Of The Provider |
SAMER |
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 |
15120 MICHIGAN AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481262916 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6117 |
Number Of Medicare Beneficiaries |
1035 |
Total Submitted Charge Amount |
1295466 |
Total Medicare Allowed Amount |
800851.73 |
Total Medicare Payment Amount |
606020.72 |
Total Medicare Standardized Payment Amount |
598461.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
667 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
40414 |
Total Drug Medicare AllowedAmount |
34007.84 |
Total Drug Medicare PaymentAmount |
26574.67 |
Total Drug Medicare Standardized Payment Amount |
26574.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
5450 |
Number Of Medicare Beneficiaries With Medical Services |
1035 |
Total Medical Submitted Charge Amount |
1255052 |
Total Medical Medicare Allowed Amount |
766843.89 |
Total Medical Medicare Payment Amount |
579446.05 |
Total Medical Medicare Standardized Payment Amount |
571886.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
338 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
766 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
66 |
Number Of Beneficiaries With Medicare Only Entitlement |
666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
369 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7289 |