National Provider Identifier [NPI]: |
1710176763 |
Last Name Of The Provider |
NASEH |
First Name Of The Provider |
FARHAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6 MONTGOMERY VILLAGE AVE |
Street Address 2 Of The Provider |
103 |
City Of The Provider |
GAITHERSBURG |
Zip Code Of The Provider |
208793546 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
7884 |
Number Of Medicare Beneficiaries |
1487 |
Total Submitted Charge Amount |
1011098 |
Total Medicare Allowed Amount |
778070.3 |
Total Medicare Payment Amount |
565693.01 |
Total Medicare Standardized Payment Amount |
499578.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
7465 |
Total Drug Medicare AllowedAmount |
4108.28 |
Total Drug Medicare PaymentAmount |
3220.91 |
Total Drug Medicare Standardized Payment Amount |
3220.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
7817 |
Number Of Medicare Beneficiaries With Medical Services |
1487 |
Total Medical Submitted Charge Amount |
1003633 |
Total Medical Medicare Allowed Amount |
773962.02 |
Total Medical Medicare Payment Amount |
562472.1 |
Total Medical Medicare Standardized Payment Amount |
496358.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
692 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
946 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
888 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
197 |
Number Of Hispanic Beneficiaries |
148 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
66 |
Number Of Beneficiaries With Medicare Only Entitlement |
992 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
495 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0331 |