National Provider Identifier [NPI]: |
1699775437 |
Last Name Of The Provider |
REHMAN |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7247 W CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
TOLEDO |
Zip Code Of The Provider |
436171177 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
45519 |
Number Of Medicare Beneficiaries |
155 |
Total Submitted Charge Amount |
1354864 |
Total Medicare Allowed Amount |
741597.28 |
Total Medicare Payment Amount |
557436.46 |
Total Medicare Standardized Payment Amount |
558313.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
41029 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1173220 |
Total Drug Medicare AllowedAmount |
648667.48 |
Total Drug Medicare PaymentAmount |
488516.98 |
Total Drug Medicare Standardized Payment Amount |
488516.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4490 |
Number Of Medicare Beneficiaries With Medical Services |
155 |
Total Medical Submitted Charge Amount |
181644 |
Total Medical Medicare Allowed Amount |
92929.8 |
Total Medical Medicare Payment Amount |
68919.48 |
Total Medical Medicare Standardized Payment Amount |
69796.54 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
50 |
Number Of Non Hispanic White Beneficiaries |
137 |
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 |
110 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
50 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0094 |