National Provider Identifier [NPI]: |
1861408734 |
Last Name Of The Provider |
HUSAIN |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
43303 SCHOENHERR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
STERLING HEIGHTS |
Zip Code Of The Provider |
483131959 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
232321 |
Number Of Medicare Beneficiaries |
519 |
Total Submitted Charge Amount |
1227602 |
Total Medicare Allowed Amount |
606111.42 |
Total Medicare Payment Amount |
456276.05 |
Total Medicare Standardized Payment Amount |
462727.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
226359 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
506042 |
Total Drug Medicare AllowedAmount |
212277.25 |
Total Drug Medicare PaymentAmount |
158388 |
Total Drug Medicare Standardized Payment Amount |
158388 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
5962 |
Number Of Medicare Beneficiaries With Medical Services |
519 |
Total Medical Submitted Charge Amount |
721560 |
Total Medical Medicare Allowed Amount |
393834.17 |
Total Medical Medicare Payment Amount |
297888.05 |
Total Medical Medicare Standardized Payment Amount |
304339.2 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
248 |
Number Of Non Hispanic White Beneficiaries |
447 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
361 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
65 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.1367 |