National Provider Identifier [NPI]: |
1073572186 |
Last Name Of The Provider |
AHSAN |
First Name Of The Provider |
ANEES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7610 CARROLL AVENUE |
Street Address 2 Of The Provider |
#410 |
City Of The Provider |
TAKOMA PARK |
Zip Code Of The Provider |
20912 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
5588 |
Number Of Medicare Beneficiaries |
1142 |
Total Submitted Charge Amount |
1502621 |
Total Medicare Allowed Amount |
642543.1 |
Total Medicare Payment Amount |
481312.48 |
Total Medicare Standardized Payment Amount |
435444.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
235 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
5400 |
Total Drug Medicare AllowedAmount |
191 |
Total Drug Medicare PaymentAmount |
149.67 |
Total Drug Medicare Standardized Payment Amount |
149.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
5353 |
Number Of Medicare Beneficiaries With Medical Services |
1142 |
Total Medical Submitted Charge Amount |
1497221 |
Total Medical Medicare Allowed Amount |
642352.1 |
Total Medical Medicare Payment Amount |
481162.81 |
Total Medical Medicare Standardized Payment Amount |
435294.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
172 |
Number Of Beneficiaries Age 65 to 74 |
466 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
379 |
Number Of Black or African American Beneficiaries |
507 |
Number Of AsianPacific Islander Beneficiaries |
117 |
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
374 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9944 |