National Provider Identifier [NPI]: |
1326159864 |
Last Name Of The Provider |
SAIEDY |
First Name Of The Provider |
SAMER |
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 |
1212 YORK RD |
Street Address 2 Of The Provider |
SUITE B201 |
City Of The Provider |
LUTHERVILLE |
Zip Code Of The Provider |
210936240 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
6007 |
Number Of Medicare Beneficiaries |
2185 |
Total Submitted Charge Amount |
9650250 |
Total Medicare Allowed Amount |
4761985.73 |
Total Medicare Payment Amount |
3695924.06 |
Total Medicare Standardized Payment Amount |
3403259.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
6007 |
Number Of Medicare Beneficiaries With Medical Services |
2185 |
Total Medical Submitted Charge Amount |
9650250 |
Total Medical Medicare Allowed Amount |
4761985.73 |
Total Medical Medicare Payment Amount |
3695924.06 |
Total Medical Medicare Standardized Payment Amount |
3403259.14 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
802 |
Number Of Beneficiaries Age 75 to 84 |
816 |
Number Of Beneficiaries Age Greater 84 |
414 |
Number Of Female Beneficiaries |
1162 |
Number Of Male Beneficiaries |
1023 |
Number Of Non Hispanic White Beneficiaries |
1726 |
Number Of Black or African American Beneficiaries |
402 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1962 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
223 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6358 |