National Provider Identifier [NPI]: |
1255380911 |
Last Name Of The Provider |
SYED |
First Name Of The Provider |
SAIMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
155 LEE BYRD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOGANVILLE |
Zip Code Of The Provider |
300522310 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
2173 |
Number Of Medicare Beneficiaries |
211 |
Total Submitted Charge Amount |
282737 |
Total Medicare Allowed Amount |
149006.31 |
Total Medicare Payment Amount |
110428.02 |
Total Medicare Standardized Payment Amount |
110804.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
3795 |
Total Drug Medicare AllowedAmount |
1613.02 |
Total Drug Medicare PaymentAmount |
1568.2 |
Total Drug Medicare Standardized Payment Amount |
1568.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2043 |
Number Of Medicare Beneficiaries With Medical Services |
211 |
Total Medical Submitted Charge Amount |
278942 |
Total Medical Medicare Allowed Amount |
147393.29 |
Total Medical Medicare Payment Amount |
108859.82 |
Total Medical Medicare Standardized Payment Amount |
109235.95 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
41 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
143 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4164 |