National Provider Identifier [NPI]: |
1275575581 |
Last Name Of The Provider |
SHEIKH |
First Name Of The Provider |
SHOAIB |
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 |
1105 E DIVISION ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEILLSVILLE |
Zip Code Of The Provider |
544562122 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
232 |
Number Of Medicare Beneficiaries |
43 |
Total Submitted Charge Amount |
32377.1 |
Total Medicare Allowed Amount |
26706.58 |
Total Medicare Payment Amount |
19650.1 |
Total Medicare Standardized Payment Amount |
20411.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
232 |
Number Of Medicare Beneficiaries With Medical Services |
43 |
Total Medical Submitted Charge Amount |
32377.1 |
Total Medical Medicare Allowed Amount |
26706.58 |
Total Medical Medicare Payment Amount |
19650.1 |
Total Medical Medicare Standardized Payment Amount |
20411.74 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
11 |
Number Of Beneficiaries Age 75 to 84 |
13 |
Number Of Beneficiaries Age Greater 84 |
0 |
Number Of Female Beneficiaries |
24 |
Number Of Male Beneficiaries |
19 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
19 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
40 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.975 |