National Provider Identifier [NPI]: |
1851365381 |
Last Name Of The Provider |
QURESHI |
First Name Of The Provider |
USMAN |
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 |
1008 MEDICAL CENTER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALICE |
Zip Code Of The Provider |
783325049 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
32888.1 |
Number Of Medicare Beneficiaries |
1875 |
Total Submitted Charge Amount |
2173289.33 |
Total Medicare Allowed Amount |
1165812.47 |
Total Medicare Payment Amount |
874291.67 |
Total Medicare Standardized Payment Amount |
932626.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18346.1 |
Number Of Medicare Beneficiaries With Drug Services |
334 |
Total Drug Submitted ChargeAmount |
303093 |
Total Drug Medicare AllowedAmount |
40795.56 |
Total Drug Medicare PaymentAmount |
31978.5 |
Total Drug Medicare Standardized Payment Amount |
31978.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
14542 |
Number Of Medicare Beneficiaries With Medical Services |
1875 |
Total Medical Submitted Charge Amount |
1870196.33 |
Total Medical Medicare Allowed Amount |
1125016.91 |
Total Medical Medicare Payment Amount |
842313.17 |
Total Medical Medicare Standardized Payment Amount |
900648.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
347 |
Number Of Beneficiaries Age 65 to 74 |
639 |
Number Of Beneficiaries Age 75 to 84 |
593 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
1072 |
Number Of Male Beneficiaries |
803 |
Number Of Non Hispanic White Beneficiaries |
384 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1475 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1082 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.02 |