National Provider Identifier [NPI]: |
1457334864 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
TANVIR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7020 SMOKE RANCH RD |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891283111 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
9167 |
Number Of Medicare Beneficiaries |
2890 |
Total Submitted Charge Amount |
2504183.94 |
Total Medicare Allowed Amount |
815776.6 |
Total Medicare Payment Amount |
612726.14 |
Total Medicare Standardized Payment Amount |
606753.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
591 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
85241 |
Total Drug Medicare AllowedAmount |
23195.09 |
Total Drug Medicare PaymentAmount |
17584.87 |
Total Drug Medicare Standardized Payment Amount |
17584.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
8576 |
Number Of Medicare Beneficiaries With Medical Services |
2890 |
Total Medical Submitted Charge Amount |
2418942.94 |
Total Medical Medicare Allowed Amount |
792581.51 |
Total Medical Medicare Payment Amount |
595141.27 |
Total Medical Medicare Standardized Payment Amount |
589168.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
615 |
Number Of Beneficiaries Age 65 to 74 |
1007 |
Number Of Beneficiaries Age 75 to 84 |
856 |
Number Of Beneficiaries Age Greater 84 |
412 |
Number Of Female Beneficiaries |
1550 |
Number Of Male Beneficiaries |
1340 |
Number Of Non Hispanic White Beneficiaries |
1904 |
Number Of Black or African American Beneficiaries |
493 |
Number Of AsianPacific Islander Beneficiaries |
152 |
Number Of Hispanic Beneficiaries |
272 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
783 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2091 |