National Provider Identifier [NPI]: |
1528056389 |
Last Name Of The Provider |
NIAZ |
First Name Of The Provider |
QAISER |
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 |
27206 CALAROGA AVE |
Street Address 2 Of The Provider |
#208 |
City Of The Provider |
HAYWARD |
Zip Code Of The Provider |
945454300 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
99310 |
Number Of Medicare Beneficiaries |
318 |
Total Submitted Charge Amount |
2850761.66 |
Total Medicare Allowed Amount |
834866.52 |
Total Medicare Payment Amount |
653213.62 |
Total Medicare Standardized Payment Amount |
623976.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
54 |
Number Of Drug Services |
93818 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
1848664.12 |
Total Drug Medicare AllowedAmount |
507495.51 |
Total Drug Medicare PaymentAmount |
397142.97 |
Total Drug Medicare Standardized Payment Amount |
397142.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5492 |
Number Of Medicare Beneficiaries With Medical Services |
318 |
Total Medical Submitted Charge Amount |
1002097.54 |
Total Medical Medicare Allowed Amount |
327371.01 |
Total Medical Medicare Payment Amount |
256070.65 |
Total Medical Medicare Standardized Payment Amount |
226833.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
173 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
123 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
54 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
165 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.7764 |