National Provider Identifier [NPI]: |
1477529154 |
Last Name Of The Provider |
KABIR |
First Name Of The Provider |
ABDUL |
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 |
219 W FRONT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONROE |
Zip Code Of The Provider |
48161 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
8093 |
Number Of Medicare Beneficiaries |
1881 |
Total Submitted Charge Amount |
696399 |
Total Medicare Allowed Amount |
556502.06 |
Total Medicare Payment Amount |
391654.39 |
Total Medicare Standardized Payment Amount |
394213.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
1820 |
Total Drug Medicare AllowedAmount |
1100.88 |
Total Drug Medicare PaymentAmount |
1078.84 |
Total Drug Medicare Standardized Payment Amount |
1078.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
8002 |
Number Of Medicare Beneficiaries With Medical Services |
1881 |
Total Medical Submitted Charge Amount |
694579 |
Total Medical Medicare Allowed Amount |
555401.18 |
Total Medical Medicare Payment Amount |
390575.55 |
Total Medical Medicare Standardized Payment Amount |
393135.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
303 |
Number Of Beneficiaries Age 65 to 74 |
668 |
Number Of Beneficiaries Age 75 to 84 |
526 |
Number Of Beneficiaries Age Greater 84 |
384 |
Number Of Female Beneficiaries |
1137 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
1789 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
406 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5753 |