National Provider Identifier [NPI]: |
1427122092 |
Last Name Of The Provider |
KHAN |
First Name Of The Provider |
ZIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2579 HIGHWAY 54 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEACHTREE CITY |
Zip Code Of The Provider |
302691451 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
4498 |
Number Of Medicare Beneficiaries |
865 |
Total Submitted Charge Amount |
758610.7 |
Total Medicare Allowed Amount |
408415.75 |
Total Medicare Payment Amount |
311447.55 |
Total Medicare Standardized Payment Amount |
315378.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
24 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1130 |
Total Drug Medicare AllowedAmount |
394.24 |
Total Drug Medicare PaymentAmount |
385.7 |
Total Drug Medicare Standardized Payment Amount |
385.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4474 |
Number Of Medicare Beneficiaries With Medical Services |
865 |
Total Medical Submitted Charge Amount |
757480.7 |
Total Medical Medicare Allowed Amount |
408021.51 |
Total Medical Medicare Payment Amount |
311061.85 |
Total Medical Medicare Standardized Payment Amount |
314992.9 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
310 |
Number Of Female Beneficiaries |
562 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
662 |
Number Of Black or African American Beneficiaries |
153 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
319 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.9338 |