National Provider Identifier [NPI]: |
1689649873 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
MUZAMMIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
33545 CHERRY HILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESTLAND |
Zip Code Of The Provider |
481864842 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
2943 |
Number Of Medicare Beneficiaries |
695 |
Total Submitted Charge Amount |
674415 |
Total Medicare Allowed Amount |
277904.77 |
Total Medicare Payment Amount |
209433.66 |
Total Medicare Standardized Payment Amount |
204919.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
109335 |
Total Drug Medicare AllowedAmount |
28260.26 |
Total Drug Medicare PaymentAmount |
22094.18 |
Total Drug Medicare Standardized Payment Amount |
22094.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
2755 |
Number Of Medicare Beneficiaries With Medical Services |
695 |
Total Medical Submitted Charge Amount |
565080 |
Total Medical Medicare Allowed Amount |
249644.51 |
Total Medical Medicare Payment Amount |
187339.48 |
Total Medical Medicare Standardized Payment Amount |
182825.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
500 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7627 |