National Provider Identifier [NPI]: |
1679529234 |
Last Name Of The Provider |
HAMMAD |
First Name Of The Provider |
AMJAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
658 MALTA AVE |
Street Address 2 Of The Provider |
SUITE #101 |
City Of The Provider |
MALTA |
Zip Code Of The Provider |
120204105 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
5435 |
Number Of Medicare Beneficiaries |
890 |
Total Submitted Charge Amount |
1351065 |
Total Medicare Allowed Amount |
657212.09 |
Total Medicare Payment Amount |
490776.51 |
Total Medicare Standardized Payment Amount |
515276.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1202 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
225926 |
Total Drug Medicare AllowedAmount |
157393.47 |
Total Drug Medicare PaymentAmount |
122982.69 |
Total Drug Medicare Standardized Payment Amount |
122982.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4233 |
Number Of Medicare Beneficiaries With Medical Services |
890 |
Total Medical Submitted Charge Amount |
1125139 |
Total Medical Medicare Allowed Amount |
499818.62 |
Total Medical Medicare Payment Amount |
367793.82 |
Total Medical Medicare Standardized Payment Amount |
392294.24 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
247 |
Number Of Female Beneficiaries |
509 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
866 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
763 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3708 |