National Provider Identifier [NPI]: |
1043239965 |
Last Name Of The Provider |
ASLAM |
First Name Of The Provider |
TANVEER |
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 |
1950 COOK ST |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
DYERSBURG |
Zip Code Of The Provider |
380241899 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
12165 |
Number Of Medicare Beneficiaries |
506 |
Total Submitted Charge Amount |
895909 |
Total Medicare Allowed Amount |
432821.11 |
Total Medicare Payment Amount |
310622.4 |
Total Medicare Standardized Payment Amount |
341647.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3791 |
Number Of Medicare Beneficiaries With Drug Services |
328 |
Total Drug Submitted ChargeAmount |
99665 |
Total Drug Medicare AllowedAmount |
10148.88 |
Total Drug Medicare PaymentAmount |
7922.15 |
Total Drug Medicare Standardized Payment Amount |
7922.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
8374 |
Number Of Medicare Beneficiaries With Medical Services |
506 |
Total Medical Submitted Charge Amount |
796244 |
Total Medical Medicare Allowed Amount |
422672.23 |
Total Medical Medicare Payment Amount |
302700.25 |
Total Medical Medicare Standardized Payment Amount |
333725.81 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
311 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
445 |
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 |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6006 |