National Provider Identifier [NPI]: |
1871512376 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
JAMIL |
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 |
2121 SHELLY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
INDIANA |
Zip Code Of The Provider |
157012395 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4866 |
Number Of Medicare Beneficiaries |
917 |
Total Submitted Charge Amount |
352240 |
Total Medicare Allowed Amount |
297737.74 |
Total Medicare Payment Amount |
220870.67 |
Total Medicare Standardized Payment Amount |
238763.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
142 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
4430 |
Total Drug Medicare AllowedAmount |
2270.37 |
Total Drug Medicare PaymentAmount |
2146.91 |
Total Drug Medicare Standardized Payment Amount |
2146.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
4724 |
Number Of Medicare Beneficiaries With Medical Services |
917 |
Total Medical Submitted Charge Amount |
347810 |
Total Medical Medicare Allowed Amount |
295467.37 |
Total Medical Medicare Payment Amount |
218723.76 |
Total Medical Medicare Standardized Payment Amount |
236616.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
414 |
Number Of Non Hispanic White Beneficiaries |
886 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
604 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
313 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8383 |