National Provider Identifier [NPI]: |
1871619601 |
Last Name Of The Provider |
ABOUZEID |
First Name Of The Provider |
AHMED |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8092 W PARADISE LN |
Street Address 2 Of The Provider |
APT 1041 |
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
853824976 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1059 |
Number Of Medicare Beneficiaries |
443 |
Total Submitted Charge Amount |
232117 |
Total Medicare Allowed Amount |
111036.79 |
Total Medicare Payment Amount |
86444.53 |
Total Medicare Standardized Payment Amount |
87462.55 |
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 |
18 |
Number Of Medical Services |
1059 |
Number Of Medicare Beneficiaries With Medical Services |
443 |
Total Medical Submitted Charge Amount |
232117 |
Total Medical Medicare Allowed Amount |
111036.79 |
Total Medical Medicare Payment Amount |
86444.53 |
Total Medical Medicare Standardized Payment Amount |
87462.55 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
397 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1823 |