National Provider Identifier [NPI]: |
1104815463 |
Last Name Of The Provider |
CHOWDHRY |
First Name Of The Provider |
SHAHEEN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10105 BANBURRY CROSS DR |
Street Address 2 Of The Provider |
250 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891446646 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
2546 |
Number Of Medicare Beneficiaries |
873 |
Total Submitted Charge Amount |
565873.54 |
Total Medicare Allowed Amount |
228814.46 |
Total Medicare Payment Amount |
173857.16 |
Total Medicare Standardized Payment Amount |
169592.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
255 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
105174.56 |
Total Drug Medicare AllowedAmount |
13373.53 |
Total Drug Medicare PaymentAmount |
10484.72 |
Total Drug Medicare Standardized Payment Amount |
10484.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2291 |
Number Of Medicare Beneficiaries With Medical Services |
873 |
Total Medical Submitted Charge Amount |
460698.98 |
Total Medical Medicare Allowed Amount |
215440.93 |
Total Medical Medicare Payment Amount |
163372.44 |
Total Medical Medicare Standardized Payment Amount |
159107.38 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
692 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
779 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
42 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8881 |