National Provider Identifier [NPI]: |
1588642425 |
Last Name Of The Provider |
SALEEM |
First Name Of The Provider |
WAQAR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1905 W HEBRON LN |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
SHEPHERDSVILLE |
Zip Code Of The Provider |
401657465 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
8237 |
Number Of Medicare Beneficiaries |
1213 |
Total Submitted Charge Amount |
1006667 |
Total Medicare Allowed Amount |
610227.87 |
Total Medicare Payment Amount |
465625.6 |
Total Medicare Standardized Payment Amount |
492452.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
2278 |
Total Drug Medicare AllowedAmount |
1187.97 |
Total Drug Medicare PaymentAmount |
1118.32 |
Total Drug Medicare Standardized Payment Amount |
1118.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
8139 |
Number Of Medicare Beneficiaries With Medical Services |
1213 |
Total Medical Submitted Charge Amount |
1004389 |
Total Medical Medicare Allowed Amount |
609039.9 |
Total Medical Medicare Payment Amount |
464507.28 |
Total Medical Medicare Standardized Payment Amount |
491333.89 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
388 |
Number Of Female Beneficiaries |
810 |
Number Of Male Beneficiaries |
403 |
Number Of Non Hispanic White Beneficiaries |
1123 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
925 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.8701 |