National Provider Identifier [NPI]: |
1417068495 |
Last Name Of The Provider |
MAJEED |
First Name Of The Provider |
SOHEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24 WOOD OAKS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH BARRINGTON |
Zip Code Of The Provider |
600101092 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3308 |
Number Of Medicare Beneficiaries |
959 |
Total Submitted Charge Amount |
359131.48 |
Total Medicare Allowed Amount |
208799.58 |
Total Medicare Payment Amount |
155547.9 |
Total Medicare Standardized Payment Amount |
147017.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3308 |
Number Of Medicare Beneficiaries With Medical Services |
959 |
Total Medical Submitted Charge Amount |
359131.48 |
Total Medical Medicare Allowed Amount |
208799.58 |
Total Medical Medicare Payment Amount |
155547.9 |
Total Medical Medicare Standardized Payment Amount |
147017.34 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
225 |
Number Of Female Beneficiaries |
605 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
607 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
246 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
636 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4679 |