National Provider Identifier [NPI]: |
1205856705 |
Last Name Of The Provider |
AIDOO |
First Name Of The Provider |
AHMED |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
MD, MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 13TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAINT CLOUD |
Zip Code Of The Provider |
347694054 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
2126 |
Number Of Medicare Beneficiaries |
306 |
Total Submitted Charge Amount |
272596 |
Total Medicare Allowed Amount |
175966.3 |
Total Medicare Payment Amount |
128217.9 |
Total Medicare Standardized Payment Amount |
131541.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
192 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
4173 |
Total Drug Medicare AllowedAmount |
820.25 |
Total Drug Medicare PaymentAmount |
749.09 |
Total Drug Medicare Standardized Payment Amount |
749.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1934 |
Number Of Medicare Beneficiaries With Medical Services |
306 |
Total Medical Submitted Charge Amount |
268423 |
Total Medical Medicare Allowed Amount |
175146.05 |
Total Medical Medicare Payment Amount |
127468.81 |
Total Medical Medicare Standardized Payment Amount |
130792.28 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
178 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
237 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7915 |