National Provider Identifier [NPI]: |
1093715310 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
OMAR |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3460 OLD WASHINGTON RD |
Street Address 2 Of The Provider |
STE 302 |
City Of The Provider |
WALDORF |
Zip Code Of The Provider |
206023240 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
12940 |
Number Of Medicare Beneficiaries |
924 |
Total Submitted Charge Amount |
1739468.1 |
Total Medicare Allowed Amount |
1666716.09 |
Total Medicare Payment Amount |
1257611.81 |
Total Medicare Standardized Payment Amount |
1254185.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4588 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
748073.6 |
Total Drug Medicare AllowedAmount |
715287.6 |
Total Drug Medicare PaymentAmount |
549559.44 |
Total Drug Medicare Standardized Payment Amount |
549559.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
8352 |
Number Of Medicare Beneficiaries With Medical Services |
924 |
Total Medical Submitted Charge Amount |
991394.5 |
Total Medical Medicare Allowed Amount |
951428.49 |
Total Medical Medicare Payment Amount |
708052.37 |
Total Medical Medicare Standardized Payment Amount |
704626.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
370 |
Number Of Non Hispanic White Beneficiaries |
715 |
Number Of Black or African American Beneficiaries |
187 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
827 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4721 |