National Provider Identifier [NPI]: |
1699774117 |
Last Name Of The Provider |
BARADHI |
First Name Of The Provider |
NABIL |
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 |
215 OAK DR S |
Street Address 2 Of The Provider |
SUITE L |
City Of The Provider |
LAKE JACKSON |
Zip Code Of The Provider |
775665629 |
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 |
63 |
Number Of Services |
4765.3 |
Number Of Medicare Beneficiaries |
905 |
Total Submitted Charge Amount |
654488.8 |
Total Medicare Allowed Amount |
317303.12 |
Total Medicare Payment Amount |
235141.78 |
Total Medicare Standardized Payment Amount |
238221.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2109.3 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
14025.8 |
Total Drug Medicare AllowedAmount |
11713.12 |
Total Drug Medicare PaymentAmount |
8934.13 |
Total Drug Medicare Standardized Payment Amount |
8934.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2656 |
Number Of Medicare Beneficiaries With Medical Services |
905 |
Total Medical Submitted Charge Amount |
640463 |
Total Medical Medicare Allowed Amount |
305590 |
Total Medical Medicare Payment Amount |
226207.65 |
Total Medical Medicare Standardized Payment Amount |
229287.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
454 |
Number Of Male Beneficiaries |
451 |
Number Of Non Hispanic White Beneficiaries |
736 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
106 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
762 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6103 |