National Provider Identifier [NPI]: |
1871607598 |
Last Name Of The Provider |
RAFIQUE |
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 |
333 HIGHWAY 82 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
389306538 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
438554 |
Number Of Medicare Beneficiaries |
791 |
Total Submitted Charge Amount |
7890142.4 |
Total Medicare Allowed Amount |
3038317.23 |
Total Medicare Payment Amount |
2382103.89 |
Total Medicare Standardized Payment Amount |
2391976.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
407634 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
5232731.4 |
Total Drug Medicare AllowedAmount |
1901551.73 |
Total Drug Medicare PaymentAmount |
1488826.78 |
Total Drug Medicare Standardized Payment Amount |
1488826.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
30920 |
Number Of Medicare Beneficiaries With Medical Services |
791 |
Total Medical Submitted Charge Amount |
2657411 |
Total Medical Medicare Allowed Amount |
1136765.5 |
Total Medical Medicare Payment Amount |
893277.11 |
Total Medical Medicare Standardized Payment Amount |
903149.5 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
254 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
553 |
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 |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
495 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9543 |