National Provider Identifier [NPI]: |
1851357164 |
Last Name Of The Provider |
SHARIF |
First Name Of The Provider |
MOHAMMAD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 PEACHTREE STREET |
Street Address 2 Of The Provider |
1960 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303082225 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
3082 |
Number Of Medicare Beneficiaries |
442 |
Total Submitted Charge Amount |
1125191 |
Total Medicare Allowed Amount |
408040.66 |
Total Medicare Payment Amount |
301824.15 |
Total Medicare Standardized Payment Amount |
314585.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
821 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
334130 |
Total Drug Medicare AllowedAmount |
158300.3 |
Total Drug Medicare PaymentAmount |
123868.74 |
Total Drug Medicare Standardized Payment Amount |
123868.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
2261 |
Number Of Medicare Beneficiaries With Medical Services |
442 |
Total Medical Submitted Charge Amount |
791061 |
Total Medical Medicare Allowed Amount |
249740.36 |
Total Medical Medicare Payment Amount |
177955.41 |
Total Medical Medicare Standardized Payment Amount |
190717.23 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
87 |
Number Of Black or African American Beneficiaries |
332 |
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.8458 |