National Provider Identifier [NPI]: |
1144394883 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
EMAD |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
385 HAWTHORNE LN |
Street Address 2 Of The Provider |
#A |
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306062100 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
4090 |
Number Of Medicare Beneficiaries |
602 |
Total Submitted Charge Amount |
1164490 |
Total Medicare Allowed Amount |
632384.76 |
Total Medicare Payment Amount |
486470.01 |
Total Medicare Standardized Payment Amount |
506778.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
495 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
7425 |
Total Drug Medicare AllowedAmount |
5675.72 |
Total Drug Medicare PaymentAmount |
4394.4 |
Total Drug Medicare Standardized Payment Amount |
4394.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3595 |
Number Of Medicare Beneficiaries With Medical Services |
602 |
Total Medical Submitted Charge Amount |
1157065 |
Total Medical Medicare Allowed Amount |
626709.04 |
Total Medical Medicare Payment Amount |
482075.61 |
Total Medical Medicare Standardized Payment Amount |
502383.83 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
172 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
317 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
368 |
Number Of Black or African American Beneficiaries |
218 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
354 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.8679 |