National Provider Identifier [NPI]: |
1487625661 |
Last Name Of The Provider |
SALAME |
First Name Of The Provider |
MAHOMED |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 LEIGHTON AVE |
Street Address 2 Of The Provider |
SUITE 702 |
City Of The Provider |
ANNISTON |
Zip Code Of The Provider |
362075700 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
20829 |
Number Of Medicare Beneficiaries |
2964 |
Total Submitted Charge Amount |
4534829.2 |
Total Medicare Allowed Amount |
1782411.98 |
Total Medicare Payment Amount |
1348092.3 |
Total Medicare Standardized Payment Amount |
1479409.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2321 |
Number Of Medicare Beneficiaries With Drug Services |
456 |
Total Drug Submitted ChargeAmount |
27410.88 |
Total Drug Medicare AllowedAmount |
9032.39 |
Total Drug Medicare PaymentAmount |
6772.41 |
Total Drug Medicare Standardized Payment Amount |
6772.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
18508 |
Number Of Medicare Beneficiaries With Medical Services |
2964 |
Total Medical Submitted Charge Amount |
4507418.32 |
Total Medical Medicare Allowed Amount |
1773379.59 |
Total Medical Medicare Payment Amount |
1341319.89 |
Total Medical Medicare Standardized Payment Amount |
1472637.41 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
594 |
Number Of Beneficiaries Age 65 to 74 |
1133 |
Number Of Beneficiaries Age 75 to 84 |
869 |
Number Of Beneficiaries Age Greater 84 |
368 |
Number Of Female Beneficiaries |
1677 |
Number Of Male Beneficiaries |
1287 |
Number Of Non Hispanic White Beneficiaries |
2483 |
Number Of Black or African American Beneficiaries |
427 |
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 |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2220 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
744 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5931 |