National Provider Identifier [NPI]: |
1699857706 |
Last Name Of The Provider |
ABID |
First Name Of The Provider |
MOHAMMAD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD FACC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
81709 DR CARREON BLVD |
Street Address 2 Of The Provider |
SUITE A1 |
City Of The Provider |
INDIO |
Zip Code Of The Provider |
92201 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
16476 |
Number Of Medicare Beneficiaries |
1687 |
Total Submitted Charge Amount |
2533128.12 |
Total Medicare Allowed Amount |
659227.4 |
Total Medicare Payment Amount |
496331.96 |
Total Medicare Standardized Payment Amount |
477241.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
10064 |
Number Of Medicare Beneficiaries With Drug Services |
218 |
Total Drug Submitted ChargeAmount |
253775 |
Total Drug Medicare AllowedAmount |
28010.63 |
Total Drug Medicare PaymentAmount |
21960.4 |
Total Drug Medicare Standardized Payment Amount |
21960.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6412 |
Number Of Medicare Beneficiaries With Medical Services |
1687 |
Total Medical Submitted Charge Amount |
2279353.12 |
Total Medical Medicare Allowed Amount |
631216.77 |
Total Medical Medicare Payment Amount |
474371.56 |
Total Medical Medicare Standardized Payment Amount |
455280.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
576 |
Number Of Beneficiaries Age 75 to 84 |
587 |
Number Of Beneficiaries Age Greater 84 |
333 |
Number Of Female Beneficiaries |
863 |
Number Of Male Beneficiaries |
824 |
Number Of Non Hispanic White Beneficiaries |
1097 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
518 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1063 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
624 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.946 |