National Provider Identifier [NPI]: |
1437171709 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
MUEEZ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1654 WATSON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARNER ROBINS |
Zip Code Of The Provider |
310933439 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
5543 |
Number Of Medicare Beneficiaries |
1460 |
Total Submitted Charge Amount |
908210.51 |
Total Medicare Allowed Amount |
567019.42 |
Total Medicare Payment Amount |
426475.95 |
Total Medicare Standardized Payment Amount |
451168.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
580 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
51480 |
Total Drug Medicare AllowedAmount |
30141.26 |
Total Drug Medicare PaymentAmount |
23434.61 |
Total Drug Medicare Standardized Payment Amount |
23434.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4963 |
Number Of Medicare Beneficiaries With Medical Services |
1460 |
Total Medical Submitted Charge Amount |
856730.51 |
Total Medical Medicare Allowed Amount |
536878.16 |
Total Medical Medicare Payment Amount |
403041.34 |
Total Medical Medicare Standardized Payment Amount |
427734.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
286 |
Number Of Beneficiaries Age 65 to 74 |
592 |
Number Of Beneficiaries Age 75 to 84 |
422 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
737 |
Number Of Male Beneficiaries |
723 |
Number Of Non Hispanic White Beneficiaries |
1023 |
Number Of Black or African American Beneficiaries |
393 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.898 |