National Provider Identifier [NPI]: |
1609923598 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
FARHAAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10012 KENNERLY RD SUITE 300 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST LOUIS |
Zip Code Of The Provider |
631282197 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5853 |
Number Of Medicare Beneficiaries |
2974 |
Total Submitted Charge Amount |
919065 |
Total Medicare Allowed Amount |
470763.23 |
Total Medicare Payment Amount |
358664.64 |
Total Medicare Standardized Payment Amount |
368211.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
23500 |
Total Drug Medicare AllowedAmount |
10887.52 |
Total Drug Medicare PaymentAmount |
8411.19 |
Total Drug Medicare Standardized Payment Amount |
8411.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5649 |
Number Of Medicare Beneficiaries With Medical Services |
2974 |
Total Medical Submitted Charge Amount |
895565 |
Total Medical Medicare Allowed Amount |
459875.71 |
Total Medical Medicare Payment Amount |
350253.45 |
Total Medical Medicare Standardized Payment Amount |
359800.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
485 |
Number Of Beneficiaries Age 65 to 74 |
985 |
Number Of Beneficiaries Age 75 to 84 |
884 |
Number Of Beneficiaries Age Greater 84 |
620 |
Number Of Female Beneficiaries |
1600 |
Number Of Male Beneficiaries |
1374 |
Number Of Non Hispanic White Beneficiaries |
2845 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2454 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
520 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.895 |