National Provider Identifier [NPI]: |
1285602052 |
Last Name Of The Provider |
BAHHADY |
First Name Of The Provider |
IMAD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
72 WASHINGTON ST |
Street Address 2 Of The Provider |
2400 |
City Of The Provider |
TAUNTON |
Zip Code Of The Provider |
027802491 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2860 |
Number Of Medicare Beneficiaries |
1064 |
Total Submitted Charge Amount |
871294.5 |
Total Medicare Allowed Amount |
308985.21 |
Total Medicare Payment Amount |
236102.62 |
Total Medicare Standardized Payment Amount |
232303.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2860 |
Number Of Medicare Beneficiaries With Medical Services |
1064 |
Total Medical Submitted Charge Amount |
871294.5 |
Total Medical Medicare Allowed Amount |
308985.21 |
Total Medical Medicare Payment Amount |
236102.62 |
Total Medical Medicare Standardized Payment Amount |
232303.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
275 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
605 |
Number Of Male Beneficiaries |
459 |
Number Of Non Hispanic White Beneficiaries |
969 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
632 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
432 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8912 |