National Provider Identifier [NPI]: |
1629182712 |
Last Name Of The Provider |
ASGHAR |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
80 N VIRGINIA ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
CRYSTAL LAKE |
Zip Code Of The Provider |
600144158 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4666 |
Number Of Medicare Beneficiaries |
539 |
Total Submitted Charge Amount |
486212.78 |
Total Medicare Allowed Amount |
299219.11 |
Total Medicare Payment Amount |
220926.99 |
Total Medicare Standardized Payment Amount |
223142.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
128 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
5660 |
Total Drug Medicare AllowedAmount |
1981.09 |
Total Drug Medicare PaymentAmount |
1905.05 |
Total Drug Medicare Standardized Payment Amount |
1905.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4538 |
Number Of Medicare Beneficiaries With Medical Services |
539 |
Total Medical Submitted Charge Amount |
480552.78 |
Total Medical Medicare Allowed Amount |
297238.02 |
Total Medical Medicare Payment Amount |
219021.94 |
Total Medical Medicare Standardized Payment Amount |
221237.44 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
479 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4681 |